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Massachusetts rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $46.44 / $75.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.22 / $71.36 / $107.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.31 / $48.97 / $444.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $38.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $59.59 / $59.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $36.46 / $482.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.92 / $36.46 / $71.36