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Virginia rates for HCPCS 67912

Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.91 / $4,691.00 / $8,294.00
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
$802.24 / $802.24 / $802.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.62 / $981.90 / $1,232.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.04 / $865.07 / $1,519.40
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.35 / $611.41 / $8,098.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $6,870.00 / $12,739.00