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Virginia rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.50 / $88.29 / $192.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $31.33 / $35.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.77 / $41.77 / $203.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $16.71 / $24.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.95 / $113.01 / $169.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.19 / $77.56 / $190.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $21.30 / $47.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $52.21 / $61.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.43 / $30.42 / $35.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $34.31 / $48.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.24 / $49.59 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.63 / $50.56 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.65 / $18.80 / $27.15