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Virginia rates for HCPCS 74355

Percutaneous placement of enteroclysis tube, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.37 / $126.37 / $128.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.55 / $126.37 / $152.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.12 / $138.13 / $173.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.32 / $154.32 / $314.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.80 / $148.80 / $750.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.09 / $166.09 / $299.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.35 / $157.94 / $250.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.24 / $174.00 / $237.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $65.00 / $224.62
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.80 / $127.13 / $227.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.26 / $165.65 / $267.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.55 / $136.34 / $234.76