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North Carolina rates for HCPCS V2628

Fabrication and fitting of ocular conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.30 / $317.99 / $350.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.61 / $393.04 / $393.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.11 / $481.11 / $481.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $269.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.75 / $327.45 / $438.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $181.30 / $206.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.47 / $710.87 / $1,957.92
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,424.76 / $2,424.76 / $2,781.83