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Virginia rates for HCPCS G0412

Open Treatment Of Iliac Spine(S) Tuberosity Avulsion Or Iliac Wing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.27 / $5,587.00 / $11,425.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,142.00 / $20,977.18 / $29,216.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $822.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.41 / $887.56 / $1,045.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.78 / $813.27 / $1,331.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.80 / $975.81 / $9,563.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,408.00 / $13,296.00 / $26,537.00