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Arkansas rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.44 / $340.50 / $356.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,999.82 / $179,999.82 / $539,999.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.35 / $516.64 / $574.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.82 / $339.82 / $339.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.32 / $175.28 / $180.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $182.18 / $271.30