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Virginia rates for HCPCS 65175

Removal Ocular Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.00 / $2,561.00 / $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
$869.41 / $869.41 / $869.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.59 / $854.81 / $1,084.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.15 / $809.30 / $1,371.99
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.44 / $875.67 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,321.00