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California rates for HCPCS V2623

Prosthetic eye, plastic, custom

Facilitymedian $1,995 · 10th–90th $1,585$5,0120%10%20%10th90th$1,995Professionalmedian $891 · 10th–90th $447$5,4950%10%10th90th$891$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
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $891.25 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,995.26 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,290.87 / $2,290.87
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $2,137.96 / $3,388.44
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,454.71 / $5,370.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $776.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,621.81 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,445.44 / $2,818.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $10,471.29 / $10,471.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $1,258.93 / $1,819.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,258.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,174.90 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $537.03 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $645.65 / $1,479.11