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California rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.88 / $200.57 / $276.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.46 / $576.46 / $576.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.78 / $197.76 / $319.27
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $807.06 / $1,178.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.27 / $351.21 / $383.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $287.35 / $399.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.96 / $486.10 / $1,516.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,580.44 / $1,580.44 / $1,795.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.97 / $319.27 / $319.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $374.16
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.63 / $602.63 / $602.63
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.51 / $177.51 / $255.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.45 / $119.47 / $336.60