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Virginia rates for HCPCS 65125

Modificaj Oc Implt W/Plmt/Rplcmt Pegs Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.13 / $3,633.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.13 / $376.18 / $600.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.14 / $345.45 / $479.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.55 / $603.62 / $3,426.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.81 / $483.81 / $483.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.00 / $437.22 / $782.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.86 / $502.19 / $631.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.14 / $462.70 / $761.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.00 / $623.00 / $839.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.36 / $360.02 / $7,420.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.90 / $568.60 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.58 / $463.78 / $806.98