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Ohio rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.13 / $1,274.11 / $1,505.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.09 / $1,148.59 / $2,310.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.72 / $2,231.73 / $2,575.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,888.39 / $2,231.73 / $4,120.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.54 / $1,082.31 / $1,307.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.37 / $791.87 / $1,044.40