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Virginia rates for HCPCS 84403

Testosterone; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.86 / $181.66 / $375.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $22.09 / $28.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $25.81 / $125.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.75 / $15.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.48 / $116.90 / $174.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.04 / $67.65 / $132.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $19.85 / $38.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $32.26 / $38.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.65 / $22.51 / $24.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.72 / $39.04 / $65.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.07 / $36.08 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $36.08 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $15.26 / $25.81