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Virginia rates for HCPCS 67974

Rcnstj Eyelid Full Thickness Upper Eyelid 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,158.93 / $5,087.00 / $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
$1,023.66 / $1,023.66 / $1,023.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.37 / $996.91 / $1,288.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.06 / $1,157.59 / $1,704.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.18 / $1,158.24 / $9,210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,270.00 / $17,192.00