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Virginia rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.77 / $975.77 / $1,461.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.57 / $1,180.48 / $1,461.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.22 / $1,440.93 / $2,303.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $1,487.73 / $1,757.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.77 / $750.00 / $1,266.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.11 / $328.99 / $575.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.23 / $289.48 / $354.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.68 / $975.77 / $2,001.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $100.00 / $2,867.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.51 / $251.88 / $445.45
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.20 / $311.49 / $489.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.57 / $1,543.00 / $2,874.36