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Virginia rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.76 / $970.76 / $2,904.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.04 / $2,357.14 / $2,904.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.63 / $2,848.80 / $4,617.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.98 / $3,657.25 / $4,114.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$506.16 / $750.00 / $1,401.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.07 / $336.33 / $597.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.12 / $297.75 / $364.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.12 / $970.76 / $3,973.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $69.00 / $4,423.77
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.79 / $270.51 / $464.42
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.26 / $318.77 / $498.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.81 / $6,578.17 / $6,578.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.99 / $1,630.02 / $3,031.61