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Virginia rates for HCPCS 65093

Evisceration of ocular contents; with implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.41 / $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
$822.07 / $822.07 / $822.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.02 / $805.90 / $1,022.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.42 / $818.38 / $1,297.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.61 / $838.83 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,121.00 / $8,168.84 / $17,187.00