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Virginia rates for HCPCS 66991

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.60 / $6,518.00 / $12,593.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$115.49 / $115.49 / $172.32
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$433.08 / $433.08 / $646.20
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$86.62 / $86.62 / $129.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.44 / $677.44 / $1,090.59
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$79.20 / $101.62 / $129.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.70 / $783.13 / $1,106.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.85 / $1,372.51 / $8,031.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.80 / $756.80 / $756.80
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$151.22 / $151.22 / $151.22
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$529.26 / $529.26 / $529.26
Cigna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$113.41 / $113.41 / $113.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.49 / $810.31 / $1,309.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.57 / $741.85 / $956.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.44 / $861.60 / $1,206.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.00 / $1,176.67 / $1,594.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.76 / $854.62 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.76 / $854.62 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,398.00 / $10,466.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.44 / $727.68 / $1,276.48