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Virginia rates for HCPCS 67015

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,174.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $2,691.53 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $588.84 / $758.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $831.76 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,148.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $758.58 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $758.58 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $1,047.13