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Illinois rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $229.09 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $302.00 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $181.97