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Virginia rates for HCPCS 66172

Fstlj Sclera Glc Trbec Ab Externo Scarring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,516.72 / $5,412.00 / $9,539.00
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
$1,325.00 / $1,325.00 / $1,325.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.65 / $1,300.76 / $1,669.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.63 / $1,562.22 / $2,172.69
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$280.60 / $351.69 / $664.53
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.26 / $1,646.33 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00