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Washington, DC rates for HCPCS V2624

Polishing/Resurfacing Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $63.98 / $78.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $64.81 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.43 / $97.43 / $97.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.84 / $48.61 / $85.37