go back

South Carolina rates for HCPCS V2624

Polishing/Resurfacing Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $59.12 / $75.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $73.06 / $87.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.00 / $59.12 / $79.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $33.99 / $41.18