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North Carolina rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.37 / $1,388.90 / $1,505.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.77 / $1,719.06 / $1,719.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,014.52 / $2,014.52 / $2,014.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $1,529.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.63 / $1,390.80 / $1,866.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.37 / $771.56 / $904.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.33 / $3,010.62 / $8,038.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,207.25 / $10,207.25 / $14,231.48