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Indiana rates for HCPCS V2629

Prosthetic eye, other type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.28 / $575.28 / $575.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.24 / $575.28 / $900.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.05 / $810.05 / $1,563.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $810.05 / $1,091.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.75 / $243.75 / $243.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.27 / $1,069.27 / $1,069.27