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Virginia rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.06 / $5,412.00 / $11,425.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.71 / $997.06 / $1,127.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,671.00 / $14,495.61 / $20,189.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.54 / $1,074.85 / $1,474.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.01 / $1,158.08 / $2,016.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.21 / $1,178.83 / $2,259.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.24 / $1,029.89 / $1,270.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.10 / $1,203.97 / $1,717.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.00 / $1,248.33 / $2,124.05
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.60 / $1,176.20 / $5,122.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.60 / $1,176.20 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.02 / $1,226.84 / $1,881.60