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Indiana rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.35 / $1,307.20 / $1,505.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.70 / $2,310.00 / $3,112.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.72 / $2,231.73 / $2,403.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.72 / $1,888.39 / $2,145.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $3,049.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.37 / $806.18 / $1,096.61