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Virginia rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.88 / $3,912.00 / $9,539.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.92 / $493.85 / $700.53
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
$446.46 / $573.45 / $810.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.10 / $1,039.55 / $5,354.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.64 / $553.64 / $553.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.82 / $584.73 / $934.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.03 / $544.74 / $698.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.53 / $603.25 / $909.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.00 / $684.00 / $934.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.76 / $604.59 / $7,420.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.76 / $604.59 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,083.06 / $13,741.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.28 / $464.43 / $792.55