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Virginia rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,412.54 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,621.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $1,023.29 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,412.54 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,380.38 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $776.25 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $1,862.09