go back

Iowa 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $84.75 / $114.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.11 / $73.06 / $105.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $72.86 / $104.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $36.46 / $71.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.00 / $80.38 / $142.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.83 / $72.78 / $142.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $36.46 / $46.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $77.00 / $77.00