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Virginia rates for HCPCS 55175

Scrotoplasty; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.66 / $2,840.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.07 / $421.28 / $519.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.41 / $505.20 / $753.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.94 / $483.82 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00