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Washington, DC rates for HCPCS V2627

Scleral Cover Shell (Special Coverage Instructions Apply. See Cim: 65-3)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.92 / $1,015.70 / $1,708.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.74 / $1,028.74 / $1,028.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.55 / $1,546.55 / $1,546.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.65 / $771.56 / $1,355.13