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Virginia rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.88 / $157.26 / $262.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.76 / $303.89 / $303.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.27 / $147.27 / $147.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.88 / $351.88 / $351.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.54 / $227.49 / $284.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.27 / $177.70 / $270.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $323.00 / $561.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.00 / $197.33 / $299.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $197.33 / $299.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $119.47 / $152.00