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Indiana rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.87 / $429.48 / $484.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.49 / $366.87 / $506.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.66 / $752.27 / $810.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.66 / $636.54 / $723.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $593.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $266.93 / $352.04