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Virginia rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.61 / $3,355.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $1,938.00 / $4,708.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.71 / $1,473.62 / $3,876.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.91 / $259.26 / $7,369.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.02 / $482.21 / $5,779.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.08 / $3,140.12 / $3,852.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.16 / $3,082.01 / $5,784.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.34 / $5,109.55 / $5,638.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.71 / $227.28 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,463.87 / $4,647.13 / $8,298.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,367.00 / $13,296.00 / $26,537.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,785.03 / $4,620.79 / $6,716.24