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Louisiana rates for HCPCS V2623

Prosthetic eye, plastic, custom

Facilitymedian $1,259 · 10th–90th $708–$2,5700%10%10th90th$1,259Professionalmedian $891 · 10th–90th $603–$1,2020%10%20%10th90th$891$50.0$100.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $933.25 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,137.96 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
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 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $1,174.90 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $660.69 / $831.76