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Oklahoma rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $65.47 / $74.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.94 / $83.94 / $83.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.36 / $72.19 / $95.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $44.94 / $97.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $30.99 / $52.29