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New Jersey rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.03 / $58.22 / $79.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $80.38 / $98.64
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.39 / $47.39 / $47.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.93 / $41.31 / $45.21