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Louisiana rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.79 / $352.38 / $376.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.24 / $273.77 / $280.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $208.58 / $261.36