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Virginia rates for HCPCS 65265

Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.23 / $5,360.00 / $9,975.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.97 / $1,223.97 / $1,223.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.10 / $1,194.24 / $1,536.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.94 / $1,305.00 / $1,964.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.78 / $1,349.91 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,524.00 / $5,979.00 / $13,217.00