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California rates for HCPCS V2629

Prosthetic Eye, Other Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.28 / $750.00 / $750.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.55 / $69.31 / $183.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $810.05 / $810.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.54 / $1,111.52 / $1,631.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.50 / $627.50 / $695.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $638.07 / $829.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $759.90 / $759.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.18 / $1,074.18 / $1,074.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.46 / $633.03 / $750.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.00 / $546.00 / $546.00