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Virginia rates for HCPCS 65400

Excision Lesion Cornea Xcp Pterygium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.10 / $2,190.00 / $8,294.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$389.72 / $441.83 / $1,178.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.63 / $646.21 / $1,029.39
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$388.47 / $447.81 / $669.62
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$77.69 / $89.56 / $133.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.34 / $693.75 / $979.01
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$827.01 / $1,040.63 / $1,468.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.66 / $1,253.21 / $2,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.17 / $994.17 / $994.17
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$695.92 / $695.92 / $695.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.29 / $752.53 / $1,248.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.55 / $761.83 / $971.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.45 / $762.45 / $1,150.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.00 / $929.00 / $1,306.69
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.57 / $735.86 / $3,398.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.86 / $824.86 / $3,398.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,175.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.85 / $647.91 / $1,090.91