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Virginia rates for HCPCS 00174

Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $426.58 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $588.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $2,454.71 / $4,786.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $64.57 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $64.57 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $83.18