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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
$28.84 / $28.84 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $37.15 / $56.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $7,413.10 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $7,413.10 / $10,964.78