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Massachusetts rates for HCPCS V2623

Prosthetic eye, plastic, custom

Facilitymedian $1,413 · 10th–90th $724$2,0420%20%10th90th$1,413Professionalmedian $933 · 10th–90th $537$1,2590%20%10th90th$933$1.0$10.0$100.0$1.0K$10.0K

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
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $870.96 / $1,258.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,096.48 / $5,754.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $933.25 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,479.11 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,318.26
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,513.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,096.48 / $5,754.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $933.25 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $602.56 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $1,071.52