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Mississippi rates for HCPCS V2623

Prosthetic Eye Plastic Custom (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.22 / $943.39 / $943.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.00 / $943.39 / $1,027.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $960.00 / $960.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $960.00 / $960.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $783.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.33 / $511.48 / $1,132.17