go back

Virginia rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.15 / $4,898.00 / $10,767.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.35 / $1,737.15 / $2,919.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.97 / $519.15 / $858.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.93 / $600.00 / $1,046.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.94 / $730.94 / $730.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.30 / $1,649.85 / $3,535.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.01 / $2,320.01 / $2,900.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.05 / $1,934.84 / $3,699.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,599.00 / $2,853.06 / $4,367.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.33 / $531.66 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,109.04 / $2,841.51 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.59 / $2,412.78 / $3,900.13