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New Jersey 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
$400.38 / $400.38 / $400.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.38 / $715.42 / $1,119.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.45 / $729.45 / $729.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $1,312.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.75 / $1,530.13 / $1,822.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.43 / $1,391.03 / $1,391.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.49 / $693.97 / $1,270.82