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Virginia rates for HCPCS 84165

Protein; electrophoretic fractionation and quantitation, serum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.01 / $83.07 / $180.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $9.65 / $10.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $10.74 / $52.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.30 / $6.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.82 / $48.63 / $72.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $28.43 / $55.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $10.29 / $21.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $13.43 / $15.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.21 / $13.09 / $15.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $17.00 / $31.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $18.73 / $81.17
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $18.64 / $81.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.44 / $10.74