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North Carolina rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.39 / $943.39 / $943.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.57 / $943.39 / $943.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.80 / $1,036.56 / $1,968.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.87 / $999.52 / $1,077.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $1,640.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.00 / $943.39 / $1,276.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.87 / $755.87 / $755.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.20 / $1,669.20 / $2,566.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.72 / $537.49 / $895.82
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.81 / $6,823.42 / $6,823.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,186.49 / $8,186.49 / $10,432.73