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Virginia rates for HCPCS 67027

Impltj Intravitreal Drug Dlvr Sys Rmvl Vts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.09 / $5,360.00 / $9,975.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,524.00 / $22,312.00 / $37,718.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.76 / $938.76 / $938.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.91 / $915.19 / $1,181.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.62 / $1,036.81 / $1,637.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.44 / $1,052.98 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00