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Iowa rates for HCPCS V2629

Prosthetic eye, other type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.28 / $575.28 / $655.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.28 / $575.28 / $750.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.05 / $1,495.05 / $1,495.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.28 / $759.90 / $1,400.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.71 / $1,057.71 / $1,057.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.71 / $1,057.71 / $1,057.71
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $1,050.00 / $1,050.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.50 / $1,050.00 / $1,050.00