go back

Hawaii rates for HCPCS V2623

Prosthetic eye, plastic, custom

Facilitymedian $776 · 10th–90th $417$3,5480%20%10th90th$776Professionalmedian $955 · 10th–90th $661$4,8980%10%20%10th90th$955$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $870.96 / $1,071.52
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
$776.25 / $2,041.74 / $2,951.21
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,128.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,995.26 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $630.96 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $831.76 / $2,398.83