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Virginia rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.58 / $1.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.39 / $0.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.32 / $0.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $0.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.39 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.39 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.26 / $0.45