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Arkansas rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.72 / $363.47 / $468.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $179,999.82 / $539,999.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.47 / $526.05 / $584.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.00 / $346.00 / $346.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.61 / $213.23 / $219.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $214.19 / $300.72