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Florida rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.80 / $867.87 / $867.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.80 / $861.72 / $968.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.51 / $744.51 / $744.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $517.14
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.28 / $2,785.82 / $4,262.63
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.80 / $720.00 / $1,077.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.76 / $608.87 / $669.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.85 / $537.49 / $767.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.87 / $608.87 / $1,077.38