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Connecticut rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.75 / $517.75 / $517.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.75 / $715.42 / $1,119.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.96 / $1,135.43 / $1,299.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.00 / $2,310.00 / $2,310.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $517.14
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.03 / $738.03 / $738.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.03 / $794.80 / $1,279.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.29 / $566.45 / $993.64