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Virginia rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.64 / $2,145.08 / $2,145.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.44 / $2,145.08 / $2,145.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,067.25 / $4,067.25 / $4,319.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.78 / $2,199.78 / $2,812.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,136.86 / $2,136.86 / $2,780.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,214.74 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,214.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,847.08 / $3,660.53 / $4,880.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.07 / $2,501.42 / $4,544.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.00 / $5,342.35 / $6,774.72
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.53 / $2,704.71 / $4,096.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.91 / $2,788.59 / $4,312.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.94 / $2,029.11 / $2,911.01