go back

Maryland rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.38 / $63.98 / $85.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.77 / $64.81 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.82 / $100.35 / $146.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.46 / $48.61 / $62.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.87 / $54.87 / $82.82