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West Virginia rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.23 / $63.98 / $85.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.03 / $116.92 / $131.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.68 / $107.17 / $225.90
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.46 / $48.61 / $106.03