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Iowa rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.47 / $479.20 / $497.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $670.88 / $1,155.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.85 / $588.71 / $794.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.32 / $554.79 / $1,155.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.62 / $295.50 / $507.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $651.54 / $1,155.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.00 / $589.92 / $1,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.69 / $295.50 / $378.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.78 / $1,482.00 / $1,482.00