go back

Virginia rates for HCPCS G0429

Dermal Filler Injection(S) For The Treatment Of Facial Lipidystrophy Syndrome (Lds) (E.G. As A Result Of Highly Active Antiretroviral Therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.30 / $85.55 / $109.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.93 / $94.88 / $139.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.00 / $2,635.00 / $3,426.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.74 / $115.89 / $137.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.07 / $159.53 / $173.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.95 / $120.56 / $452.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $104.90 / $177.05