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Virginia rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $5,011.87 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $2,754.23
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
$870.96 / $1,318.26 / $1,862.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $4,365.16 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,096.48 / $1,778.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,230.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,174.90 / $1,258.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,096.48 / $1,737.80
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $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
$616.60 / $870.96 / $1,584.89