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Louisiana rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.43 / $382.83 / $414.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.49 / $278.76 / $285.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $218.25 / $276.25