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Rhode Island rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $38.40 / $46.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $49.42 / $63.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.92 / $36.46 / $48.82