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Washington, DC rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.57 / $707.57 / $707.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.57 / $707.57 / $707.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $517.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.30 / $700.30 / $2,138.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.33 / $537.49 / $944.03