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Missouri rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.47 / $422.83 / $497.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.52 / $366.87 / $518.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.23 / $213.23 / $213.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.83 / $563.77 / $1,001.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.69 / $292.86 / $902.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.53 / $273.20 / $422.83