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Virginia rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.70 / $3,226.00 / $7,275.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.78 / $280.74 / $464.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.26 / $265.00 / $391.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.07 / $321.29 / $3,774.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.41 / $311.89 / $543.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.69 / $293.63 / $362.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.36 / $313.79 / $474.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.00 / $385.09 / $499.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.47 / $266.44 / $4,072.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.89 / $358.57 / $4,072.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,524.00 / $5,979.00 / $13,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.37 / $369.80 / $562.78