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North Carolina rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $60.88 / $69.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.86 / $73.06 / $73.06
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 / $35.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.00 / $61.20 / $81.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $33.70 / $40.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.43 / $142.25 / $378.85
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.28 / $482.28 / $548.03