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Virginia rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $954.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,230.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $794.33 / $1,023.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $741.31 / $1,000.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,148.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $630.96 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $3,467.37 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $575.44 / $1,096.48