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Virginia rates for HCPCS 67345

Chemodenervation Extraocular Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.51 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.30 / $210.51 / $310.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $248.70 / $351.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.65 / $319.00 / $1,013.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.95 / $363.95 / $363.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.69 / $277.89 / $444.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.06 / $269.48 / $342.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.63 / $283.49 / $419.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.00 / $334.00 / $455.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.59 / $271.16 / $1,380.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.68 / $299.69 / $1,380.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.00 / $819.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.70 / $232.34 / $396.43