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Adhesion Barrier

Virginia rates for HCPCS C1765

Adhesion barrier

Rates data updated July 2026.

Facilitymedian $575 · 10th–90th $3$3,4670%10%20%10th90th$575Professionalmedian $3 · 10th–90th $3$5750%20%40%90th$3$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$1,862.09
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$575.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$851.14
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$6.31
Typical High
$691.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$933.25
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$933.25
Typical High
$4,073.80