go back

North Dakota rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.86 / $947.86 / $947.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.86 / $947.98 / $947.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.86 / $1,260.24 / $1,291.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.13 / $1,325.25 / $1,666.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.66 / $947.98 / $5,682.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.15 / $623.90 / $921.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.58 / $537.49 / $908.30