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Delaware rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $58.44 / $85.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.46 / $48.61 / $81.01