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Virginia rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.87 / $5,087.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.78 / $828.78 / $828.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.42 / $812.26 / $1,031.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.96 / $797.75 / $1,308.51
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.42 / $848.43 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00