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Virginia rates for HCPCS A4596

Cranial electrotherapy stimulation (CES) system supplies and accessories, per month

Facilitymedian $35 · 10th–90th $27–$600%10%20%10th90th$35Professionalmedian $29 · 10th–90th $21–$480%10%10th90th$29$20.0$50.0$100.0$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
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $81.28
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $44.67 / $66.07
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $33.88 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $61.66
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $37.15 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $79.43 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $36.31