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Adhesion Barrier

Virginia rates for HCPCS C1765

Adhesion barrier

Rates data updated October 2026.

How much does Adhesion Barrier cost?

$575

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $575 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$575$3.47 to $575
FacilityA hospital or hospital-owned outpatient department$575$513 to $933

How much rates vary

Facilitymedian $575 · 10th to 90th $3 to $1,738Professionalmedian $575 · 10th to 90th $3 to $575
$10$100$1Kfacility $575professional $575

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$575.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.74
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.69
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.52
Median
$85.11
Typical High
$85.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.35
Median
$57.54
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$870.96
Sentara
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$933.25
Typical High
$4,570.88
Sentara
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$912.01
Typical High
$1,737.80

Where Virginia sits

The same service costs 446.7 times more in Connecticut than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 6th of 51

$575

CT $1,549ID $3.47

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.