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Virginia rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $66.07 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $134.90 / $239.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $79.43 / $186.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $138.04 / $524.81
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $138.04 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $102.33 / $125.89