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Montana rates for HCPCS V2625

Enlargement of ocular prosthesis

Facilitymedian $575 · 10th–90th $380–$7080%50%10th90th$575Professionalmedian $407 · 10th–90th $288–$5130%20%10th90th$407$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $407.38 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $707.95
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $575.44 / $707.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $602.56
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $223.87 / $331.13