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Maine rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $41.92 / $63.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.86 / $171.86 / $171.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.87 / $54.87 / $60.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $59.59 / $59.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $41.92 / $63.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $36.46 / $83.84