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Virginia rates for HCPCS C1821

Interspinous process distraction device (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,137.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,951.21
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