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Missouri rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.67 / $1,251.23 / $1,639.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.00 / $1,721.87 / $2,310.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.94 / $742.34 / $742.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.02 / $1,472.03 / $2,615.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.12 / $771.56 / $2,357.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.12 / $771.56 / $1,587.98