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Virginia rates for HCPCS 86162

Complement Total Hemolytic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.19 / $95.46 / $316.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $17.72 / $19.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $20.32 / $98.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $10.03 / $12.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.19 / $91.98 / $137.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.20 / $52.92 / $104.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $13.63 / $23.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.38 / $25.40 / $30.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.86 / $17.72 / $21.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $28.00 / $42.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.81 / $27.74 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $27.09 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $11.92 / $20.32