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Virginia rates for HCPCS 75801

Lymphangiography Extremity Only Unilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.72 / $67.09 / $160.02
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.31 / $48.31 / $48.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.85 / $48.00 / $56.59
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.00 / $60.26 / $125.79