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Virginia rates for HCPCS 63057

Transpedicular Dcmprn 1 Seg Ea Thoracic/Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.33 / $3,226.00 / $8,294.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.38 / $365.38 / $1,700.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$35.86 / $35.86 / $35.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.14 / $384.22 / $454.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.63 / $428.26 / $658.68
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$56.35 / $66.64 / $129.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.51 / $423.65 / $819.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $1,148.00 / $2,375.00