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Rhode Island rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $794.33 / $2,290.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,238.72 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $707.95 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $954.99