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Maryland rates for HCPCS V2623

Prosthetic eye, plastic, custom

Facilitymedian $575 · 10th–90th $372$8320%10%10th90th$575Professionalmedian $832 · 10th–90th $525$1,3180%10%20%10th90th$832$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 / $831.76 / $1,202.26
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,096.48 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $537.03 / $891.25
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $794.33 / $933.25