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Arizona rates for HCPCS V2623

Prosthetic eye, plastic, custom

Facilitymedian $1,175 · 10th–90th $380–$2,9510%5%10th90th$1,175Professionalmedian $871 · 10th–90th $457–$1,3180%10%10th90th$871$10.0$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $870.96 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $1,548.82 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,445.44 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $1,047.13 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,174.90 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $812.83