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Virginia rates for HCPCS 86965

Pooling Platelets/Other Blood Products

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.69 / $29.00 / $83.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $26.38 / $29.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.51 / $726.41 / $917.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $13.82 / $19.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.70 / $29.70 / $57.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $55.03 / $125.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $16.80 / $41.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $27.38 / $45.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.21 / $28.48 / $44.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $33.00 / $73.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.67 / $27.08 / $70.22
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.64 / $27.86 / $76.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $15.13 / $20.35