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Rhode Island rates for HCPCS V2623

Prosthetic Eye Plastic Custom (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.87 / $596.70 / $786.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,605.33 / $2,168.21 / $2,566.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.85 / $767.95 / $1,026.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $517.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.13 / $648.42 / $944.09