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Virginia rates for HCPCS A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $37.17 / $37.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $350.00 / $467.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.85 / $1,195.85 / $1,195.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $37.17 / $56.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,750.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,750.00 / $10,945.00