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Virginia rates for HCPCS 62304

Myelography Via Lumbar Inject Rs&I Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $2,076.55 / $6,677.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.22 / $217.59 / $298.52
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
$104.32 / $136.63 / $227.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.73 / $127.73 / $1,490.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.57 / $198.57 / $198.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.49 / $238.91 / $467.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.69 / $283.12 / $349.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.33 / $262.85 / $418.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.66 / $320.00 / $582.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.61 / $172.43 / $287.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.87 / $345.24 / $604.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $1,890.00 / $3,765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.18 / $306.97 / $506.44