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New York rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $50.77 / $75.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.61 / $131.53 / $146.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.05 / $60.36 / $142.37
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.62 / $60.88 / $60.88
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.88 / $60.88 / $60.88
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.72 / $95.72 / $158.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.83 / $41.83 / $41.83
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $43.92 / $73.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.09 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $126.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $36.46 / $62.98
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $46.67 / $74.93