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Virginia rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.63 / $2,561.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.44 / $237.63 / $280.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.35 / $275.17 / $398.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $335.95 / $916.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.44 / $309.31 / $568.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.60 / $292.32 / $360.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.73 / $308.92 / $451.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $353.00 / $491.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.27 / $290.20 / $917.89
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.36 / $330.92 / $982.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,019.00 / $2,375.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.95 / $354.77 / $554.32