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Oklahoma rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.56 / $346.72 / $382.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.16 / $403.16 / $403.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.39 / $346.72 / $529.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $221.62 / $466.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $207.60 / $317.95