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Washington 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 / $575.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $759.90 / $759.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.05 / $960.00 / $1,280.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $76.50 / $93.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.00 / $1,295.00 / $1,295.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.05 / $810.05 / $810.05