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Virginia rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.15 / $183.71 / $183.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $154.01 / $183.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $167.03 / $179.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.89 / $182.89 / $182.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.12 / $151.09 / $201.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.68 / $166.05 / $237.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $279.72 / $315.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.49 / $196.65 / $254.79
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.49 / $196.65 / $254.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.22 / $211.02 / $368.91