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Iowa rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.86 / $947.98 / $947.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.87 / $896.22 / $947.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.54 / $1,276.54 / $1,276.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.13 / $1,640.16 / $3,065.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.38 / $1,437.63 / $3,363.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.02 / $1,723.81 / $5,682.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.29 / $598.25 / $1,646.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.00 / $1,276.54 / $2,262.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.74 / $1,155.80 / $2,262.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.29 / $578.95 / $1,585.56
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,964.00 / $2,964.00 / $2,964.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,341.56 / $2,964.00 / $2,964.00