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Virginia rates for HCPCS L3255

Nonstandard size or length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.64 / $19.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $19.64 / $19.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.65 / $189.00 / $189.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.24 / $24.24 / $24.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $23.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $29.00 / $29.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $19.64 / $29.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00