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Virginia rates for HCPCS 67560

Orbital implant (implant outside muscle cone); removal or revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.00 / $3,645.00 / $8,294.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.66 / $1,233.66 / $1,233.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.15 / $1,206.06 / $1,538.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.92 / $1,208.66 / $1,948.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.42 / $1,292.05 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00