go back

Kentucky rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $48.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $54.23 / $74.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $54.87 / $91.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $102.30 / $141.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.38 / $102.30 / $164.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.09 / $93.09 / $93.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $85.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.57 / $46.57 / $46.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $36.46 / $52.29