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Virginia rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.13 / $58.74 / $71.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.78 / $71.30 / $124.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $70.89 / $85.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $101.52 / $150.43
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.79 / $58.87 / $83.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $44.73 / $74.03