go back

Arizona rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.87 / $761.35 / $1,245.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.14 / $1,362.40 / $2,463.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.84 / $1,257.11 / $1,712.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $1,312.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.00 / $968.97 / $5,682.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.91 / $537.49 / $851.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.85 / $537.49 / $809.66