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Texas 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 / $581.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.64 / $409.64 / $409.64
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.28 / $575.28 / $966.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.28 / $575.28 / $862.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.64 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.05 / $810.05 / $810.05