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Nevada 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
$1,245.28 / $1,245.28 / $1,257.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.57 / $1,245.28 / $1,257.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.51 / $1,436.51 / $1,436.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.29 / $2,100.00 / $2,310.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,510.00 / $3,510.00 / $3,510.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $1,312.13
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.83 / $1,077.38 / $2,068.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.04 / $771.11 / $1,292.85