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Wyoming rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.97 / $968.97 / $1,054.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.25 / $1,113.25 / $1,113.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.25 / $1,113.25 / $1,113.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.54 / $1,276.54 / $1,276.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $1,069.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.80 / $537.49 / $596.72