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Illinois rates for HCPCS V2625

Enlargement Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.57 / $402.08 / $484.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.67 / $868.01 / $868.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $677.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.34 / $592.30 / $898.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.69 / $810.14 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.69 / $279.69 / $369.65