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Virginia rates for HCPCS 88311

Decalcification procedure (List separately in addition to code for surgical pathology examination)

Facilitymedian $21 · 10th–90th $9$370%10%20%10th90th$21Professionalmedian $16 · 10th–90th $6$520%10%10th90th$16$0.1$0.5$2.0$10.0$50.0

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
$12.88 / $18.20 / $58.88
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.00 / $25.70 / $74.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.01 / $7.08 / $13.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.37 / $5.37 / $11.22
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.72 / $3.72 / $7.76
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $20.42 / $23.44
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $12.02 / $13.49
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.32 / $9.12 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.30 / $36.31
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$5.50 / $7.41 / $23.99
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.24 / $5.01 / $14.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $24.55 / $27.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.22 / $13.49 / $15.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.13 / $10.47 / $12.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $40.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $18.62 / $33.11
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $23.44 / $45.71
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$13.49 / $17.78 / $27.54
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6.76 / $11.75 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $21.88 / $42.66
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $12.88 / $25.70
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3.89 / $8.13 / $15.85