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Virginia rates for HCPCS 01634

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $602.56 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $758.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.47 / $5.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $851.14
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 / $102.33
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $64.57 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $83.18