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Minnesota rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.70 / $484.70 / $484.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $468.17 / $497.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.50 / $543.50 / $543.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.63 / $578.66 / $578.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.91 / $1,652.78 / $2,078.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.58 / $737.96 / $852.01
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.91 / $1,636.42 / $3,433.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.88 / $670.88 / $670.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.23 / $484.70 / $578.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $221.62 / $434.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $221.62 / $581.10