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Virginia rates for HCPCS 65850

Trabeculotomy ab externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.17 / $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
$934.45 / $934.45 / $934.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.17 / $911.96 / $1,175.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.78 / $1,019.10 / $1,494.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.58 / $1,037.59 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,524.00 / $5,979.00 / $13,217.00