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Ohio rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $402.08 / $468.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.95 / $333.52 / $647.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.66 / $694.40 / $868.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.54 / $752.27 / $1,388.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.49 / $420.74 / $508.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $266.54 / $352.04