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Virginia rates for HCPCS 57415

Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.14 / $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
$166.86 / $200.23 / $246.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.07 / $217.62 / $311.20
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.88 / $216.04 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $13,741.00