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Virginia rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.71 / $6,827.70 / $14,798.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.67 / $1,062.67 / $1,062.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.76 / $1,036.19 / $1,337.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.78 / $1,303.38 / $2,214.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$270.73 / $312.80 / $538.57
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.28 / $1,375.60 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00