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Arkansas rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $69.55 / $75.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $179,999.82 / $539,999.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.75 / $109.52 / $121.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.03 / $72.03 / $72.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $35.07 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $38.63 / $57.52