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Kansas rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.02 / $972.02 / $972.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.00 / $861.56 / $1,104.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.04 / $1,402.85 / $1,492.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.71 / $1,332.71 / $1,332.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $1,640.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.00 / $1,000.85 / $5,682.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.33 / $578.95 / $1,482.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.33 / $573.79 / $777.73