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Virginia rates for HCPCS 86161

Complement; functional activity, each component

Facilitymedian $22 · 10th–90th $11$720%10%20%10th90th$22Professionalmedian $10 · 10th–90th $6$150%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $29.51 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.72 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $9.12
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $56.23 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $31.62 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.71 / $20.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $17.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $23.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $12.30
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.30 / $25.12
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $17.38 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $16.98 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $12.02 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $12.59