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Virginia rates for HCPCS 73040

Radiologic examination, shoulder, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.03 / $42.51 / $90.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.14 / $111.83 / $163.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.69 / $24.83 / $37.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.90 / $89.42 / $129.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.16 / $147.47 / $215.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.75 / $29.68 / $45.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.09 / $117.98 / $172.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.20 / $145.99 / $336.05
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.99 / $29.38 / $37.31
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.82 / $108.83 / $136.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.37 / $30.37 / $30.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.05 / $141.90 / $262.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.32 / $34.20 / $60.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.58 / $105.03 / $206.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.13 / $150.15 / $184.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.19 / $29.88 / $36.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.94 / $121.13 / $148.44
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.45 / $45.00 / $79.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $114.00 / $192.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.28 / $130.16 / $262.14
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.07 / $38.10 / $60.33
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.25 / $126.63 / $216.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.02 / $144.21 / $229.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.76 / $33.58 / $50.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.98 / $106.01 / $168.21