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Virginia rates for HCPCS 57109

Vagnc Prtl Rmvl Vag Wall W/Bi Tot Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.59 / $4,032.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.59 / $1,984.42 / $2,134.76
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
$1,605.78 / $2,053.42 / $2,816.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,936.90 / $2,679.77 / $22,146.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.26 / $2,240.44 / $4,241.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,646.01 / $1,975.21 / $2,436.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.26 / $2,278.61 / $3,257.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.51 / $2,453.00 / $4,060.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.81 / $2,210.56 / $4,891.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.81 / $2,210.56 / $4,891.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.63 / $2,131.56 / $3,886.76