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Virginia rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $3,019.95 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $4,365.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $323.59 / $812.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $616.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $316.23 / $512.86
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $269.15 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $489.78