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Virginia rates for HCPCS 67405

Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only

Facilitymedian $3,981 · 10th–90th $871–$10,0000%5%10th90th$3,981Professionalmedian $1,023 · 10th–90th $794–$1,1480%20%10th90th$1,023$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $5,495.41 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $912.01 / $1,174.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,148.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,047.13 / $1,621.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,071.52 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,025.60 / $12,882.50