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Virginia rates for HCPCS 65865

Severing Ads Ant Seg Incal Tq Spx Goniosynechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.30 / $2,561.00 / $8,294.00
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
$531.27 / $531.27 / $531.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.00 / $521.17 / $667.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.32 / $578.80 / $914.93
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.83 / $576.71 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00