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Virginia rates for HCPCS C2622

Prosthesis, penile, noninflatable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,768.95 / $3,768.95 / $3,768.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,768.95 / $3,768.95 / $3,768.95
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
$3,768.95 / $3,768.95 / $5,740.11
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.00 / $1,291.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.00 / $1,291.00 / $4,071.00