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Oklahoma rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.11 / $1,081.76 / $1,081.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.83 / $981.13 / $1,081.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.57 / $1,257.85 / $1,257.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $1,312.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.00 / $1,030.19 / $5,682.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.33 / $684.71 / $1,402.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.33 / $627.07 / $820.57