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Ohio rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.00 / $840.00 / $3,280.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.15 / $840.00 / $968.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.93 / $1,207.61 / $1,941.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.03 / $737.13 / $2,100.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.04 / $1,131.79 / $1,527.92
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.66 / $1,018.61 / $2,423.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.46 / $1,396.46 / $1,396.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $941.06
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,396.46 / $1,396.46 / $1,396.46
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $517.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.61 / $754.34 / $988.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.42 / $541.07 / $820.23