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Maryland rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.17 / $721.60 / $972.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $517.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.17 / $1,077.38 / $1,616.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.50 / $537.49 / $861.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.17 / $801.20 / $2,100.00