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Tennessee rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.58 / $60.88 / $75.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.80 / $80.38 / $80.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.43 / $148.33 / $378.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.28 / $482.28 / $548.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $32.92 / $37.84