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Virginia rates for HCPCS L3255

Nonstandard size or length

Facilitymedian $19 · 10th–90th $19–$10,0000%50%10th90th$19Professionalmedian $19 · 10th–90th $19–$240%50%90th$19$20.0$100.0$500.0$2.0K$10.0K

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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.84 / $28.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $33.11
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $10,000.00 / $10,964.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $10,000.00 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95