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Wyoming rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $63.34 / $81.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.74 / $90.74 / $90.74
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 / $36.46