go back

Pennsylvania rates for HCPCS V2624

Polishing/Resurfacing Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $58.86 / $85.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.43 / $97.43 / $97.43
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
$80.38 / $98.94 / $158.56
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.79 / $65.79 / $73.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $59.12 / $85.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.09 / $93.09 / $93.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.66 / $69.66 / $92.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.55 / $92.73 / $92.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.46 / $48.61 / $81.01