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Virginia rates for HCPCS 84252

Riboflavin (Vitamin B-2)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.12 / $38.42 / $84.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $17.64 / $19.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $20.23 / $98.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $9.99 / $12.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.43 / $89.29 / $133.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.14 / $49.90 / $104.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $13.63 / $23.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $25.30 / $29.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.97 / $18.35 / $19.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.82 / $33.00 / $48.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $27.56 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.74 / $26.98 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $12.10 / $20.23