go back

Maryland rates for HCPCS V2625

Enlargement Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.22 / $346.20 / $468.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.81 / $295.50 / $295.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.92 / $466.44 / $666.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.11 / $221.62 / $300.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.52 / $333.52 / $377.60