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Virginia rates for HCPCS G0458

Ldr prostate brachy comp rat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.62 / $227.31 / $312.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $31.80 / $50.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,420.00 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,420.00 / $9,929.00 / $10,945.00