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Vermont 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
$451.79 / $639.32 / $639.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $796.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $796.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.64 / $681.97 / $1,312.61