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Pennsylvania rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.22 / $346.20 / $468.17
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.23 / $444.23 / $444.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.00 / $583.00 / $583.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.65 / $601.49 / $963.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $299.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.22 / $378.55 / $484.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.00 / $583.00 / $583.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.61 / $317.61 / $422.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.61 / $422.83 / $550.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.31 / $221.62 / $362.25