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Virginia rates for HCPCS G0458

Low dose rate (LDR) prostate brachytherapy services, composite rate

Facilitymedian $30 · 10th–90th $30–$10,0000%50%90th$30Professionalmedian $30 · 10th–90th $30–$3090%50%90th$30$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $239.88 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $54.95
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,000.00 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,000.00 / $10,964.78