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Georgia rates for HCPCS V2623

Prosthetic eye, plastic, custom

Facilitymedian $1,096 · 10th–90th $631–$4,0740%20%10th90th$1,096Professionalmedian $891 · 10th–90th $661–$1,4130%20%10th90th$891$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
$870.96 / $870.96 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $891.25 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,311.31 / $4,073.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $891.25 / $2,187.76
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,096.48 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $602.56 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $537.03 / $1,047.13