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Iowa rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.76 / $375.97 / $413.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $423.38 / $828.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.39 / $455.25 / $567.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.73 / $427.84 / $741.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.18 / $242.90 / $416.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.00 / $535.59 / $949.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $484.94 / $949.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.94 / $242.90 / $356.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.08 / $552.00 / $552.00