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Virginia rates for HCPCS 65140

Insertion of ocular implant secondary; after enucleation, muscles attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $5,011.87 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $2,630.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,258.93 / $1,778.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $4,466.84 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $933.25 / $1,202.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,000.00 / $1,096.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,659.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $9,549.93 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,513.56