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Virginia rates for HCPCS 61651

Evasc Intracranial Prolng Admn Rx Agent Art Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.77 / $4,390.00 / $10,767.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,166.54 / $16,742.20 / $23,318.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.53 / $277.83 / $337.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.80 / $314.73 / $445.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.28 / $319.55 / $1,621.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.00 / $3,295.00 / $10,340.00