go back

Nebraska rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Facilitymedian $79 · 10th–90th $54–$1290%10%10th90th$79Professionalmedian $59 · 10th–90th $30–$790%20%10th90th$59$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $58.88 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $85.11 / $107.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $89.13 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $36.31 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $36.31 / $54.95