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Mississippi rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.23 / $327.45 / $344.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $350.00 / $350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $265.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $181.30 / $338.21