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Virginia rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.43 / $291.75 / $483.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.87 / $563.77 / $563.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.50 / $295.50 / $295.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.00 / $583.00 / $583.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.60 / $422.02 / $528.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.22 / $320.93 / $496.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.38 / $600.00 / $1,041.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.98 / $366.08 / $555.16
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.98 / $366.08 / $555.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.31 / $221.62 / $295.50