go back

Missouri rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $229.09 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $199.53 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $281.84 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $147.91 / $213.80