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Virginia rates for HCPCS 67120

Rmvl Implnt Matl Posterior Segment Extraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.48 / $3,633.00 / $8,920.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.31 / $912.31 / $912.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.20 / $732.00 / $932.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.51 / $745.05 / $1,114.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.84 / $693.06 / $7,420.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00