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Georgia rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $59.12 / $78.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $73.06 / $73.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.30 / $67.18 / $121.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $105.95 / $116.91
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
$58.46 / $73.06 / $136.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $34.93 / $52.29