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Virginia rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.88 / $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
$704.26 / $704.26 / $704.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.08 / $690.68 / $886.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.66 / $750.93 / $1,131.03
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.87 / $767.86 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00