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Arizona rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $54.23 / $74.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.18 / $19.18 / $21.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.55 / $53.55 / $67.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.95 / $61.20 / $92.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $36.46 / $482.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $36.46 / $52.29