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Virginia rates for HCPCS 65130

Insertion of ocular implant secondary; after evisceration, in scleral shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.35 / $5,087.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.58 / $842.27 / $1,114.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.67 / $986.25 / $1,393.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.97 / $1,667.19 / $6,694.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.18 / $952.18 / $952.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.89 / $922.91 / $1,567.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.88 / $933.98 / $1,186.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.28 / $905.76 / $1,501.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.00 / $1,019.00 / $1,623.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.68 / $968.73 / $9,210.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.68 / $968.73 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.53 / $734.21 / $1,330.72