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Florida rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.79 / $313.17 / $395.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.23 / $302.16 / $393.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.83 / $223.77 / $246.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.79 / $189.97 / $219.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.77 / $223.77 / $223.77