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Virginia rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $34.67 / $58.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $1,288.25 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $1,288.25 / $4,073.80