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Indiana rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.38 / $193.73 / $262.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.19 / $197.76 / $266.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.46 / $311.30 / $359.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.46 / $263.41 / $299.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $277.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $114.14 / $171.39