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Virginia rates for HCPCS 51960

Enterocystoplasty, including intestinal anastomosis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.91 / $4,771.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.80 / $1,570.91 / $1,714.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,927.78 / $20,791.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.65 / $1,617.20 / $2,217.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.97 / $1,791.14 / $3,118.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.18 / $1,868.09 / $3,445.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.59 / $1,571.52 / $1,938.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.59 / $1,929.27 / $2,676.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.00 / $1,943.00 / $3,214.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,393.30 / $1,852.25 / $3,320.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.30 / $1,852.25 / $3,320.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.24 / $1,844.15 / $2,996.52