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Virginia rates for HCPCS 64772

Transection or avulsion of other spinal nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.53 / $3,645.00 / $7,275.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.00 / $572.00 / $633.79
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$63.12 / $63.12 / $63.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.16 / $685.00 / $806.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.20 / $729.93 / $1,061.71
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.26 / $105.53 / $232.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.27 / $724.20 / $2,455.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,651.00 / $6,870.00 / $12,739.00