go back

Virginia rates for HCPCS 65930

Removal of blood clot, anterior segment of eye

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.98 / $5,412.00 / $10,767.00
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
$711.72 / $711.72 / $711.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.46 / $695.83 / $895.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.86 / $781.98 / $1,159.73
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $786.20 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00