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Oklahoma rates for HCPCS V2628

Fabrication And Fitting Of Ocular Conformer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.54 / $317.99 / $352.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.93 / $395.93 / $395.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.28 / $175.28 / $175.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.86 / $340.50 / $463.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $215.53 / $457.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.45 / $182.18 / $261.36