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Virginia rates for HCPCS 65880

Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.04 / $5,360.00 / $9,975.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.67 / $739.67 / $739.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.83 / $724.50 / $930.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.12 / $786.82 / $1,187.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.88 / $799.66 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00