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Virginia rates for HCPCS 54164

Frenulotomy of penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.08 / $3,645.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.80 / $225.36 / $277.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.06 / $266.11 / $370.85
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.32 / $258.42 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00