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Kansas rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.73 / $361.48 / $463.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.67 / $391.67 / $412.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.20 / $408.20 / $408.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.41 / $391.52 / $481.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $232.08 / $2,424.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $219.55 / $311.02