go back

Indiana rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $57.54 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $60.26 / $91.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $34.67 / $47.86