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Oklahoma rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.67 / $1,308.94 / $1,390.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.02 / $1,522.02 / $1,522.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.24 / $1,308.94 / $1,738.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.37 / $828.50 / $1,759.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.37 / $655.82 / $1,106.90