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Pennsylvania 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
$575.28 / $575.28 / $750.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.27 / $900.00 / $900.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.28 / $575.28 / $575.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.24 / $575.28 / $750.00