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Virginia rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.46 / $3.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $2.91 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.17 / $8.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $4.42 / $6.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $7.63 / $10.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $5.35 / $9.74
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.35 / $9.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.24 / $6.06