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Missouri rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $58.22 / $78.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.20 / $59.14 / $67.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.25 / $35.07 / $35.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.16 / $69.55 / $123.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.54 / $36.46 / $111.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.54 / $36.46 / $52.16