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Virginia rates for HCPCS 61590

Infratemporal Mid Cranial Fossa W/Wo Disarticltn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,443.36 / $5,282.00 / $10,026.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,738.20 / $20,977.18 / $29,216.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,840.47 / $3,408.56 / $4,203.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,103.53 / $4,060.47 / $5,679.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,882.48 / $3,909.48 / $7,116.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00