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Virginia rates for HCPCS 66184

Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.23 / $5,087.00 / $8,920.00
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
$879.11 / $879.11 / $879.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.46 / $864.07 / $1,107.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.86 / $1,008.42 / $1,431.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.76 / $999.47 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,524.00 / $5,979.00 / $13,217.00