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Tennessee rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.47 / $394.32 / $484.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.97 / $520.62 / $520.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.16 / $2,372.57 / $2,460.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,931.93 / $2,931.93 / $3,331.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.75 / $213.19 / $250.22