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Indiana rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Facilitymedian $30 · 10th–90th $30–$950%50%90th$30Professionalmedian $58 · 10th–90th $33–$760%20%10th90th$58$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $57.54 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $60.26 / $91.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $34.67 / $48.98