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Virginia rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Facilitymedian $55 · 10th–90th $14$910%10%10th90th$55Professionalmedian $35 · 10th–90th $10$1020%10%10th90th$35$0.1$0.5$2.0$10.0$50.0$200.0

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
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $38.02 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $23.99 / $75.86
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.79 / $26.92 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $47.86 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.72 / $12.30 / $22.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$28.18 / $34.67 / $58.88
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $40.74 / $48.98
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $10.47 / $13.18
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$31.62 / $31.62 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.20 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.01 / $6.61 / $22.39
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$14.45 / $22.39 / $63.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $52.48 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.23 / $12.30 / $14.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$30.20 / $38.90 / $45.71
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $104.71
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $53.70 / $81.28
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $63.10 / $95.50
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $16.98 / $25.12
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$41.69 / $56.23 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $43.65 / $91.20
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.08 / $11.75 / $23.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$18.20 / $34.67 / $66.07