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West Virginia rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.75 / $388.99 / $449.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.08 / $599.71 / $868.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.23 / $555.29 / $1,029.97
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.77 / $221.62 / $371.03