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West Virginia 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
$568.46 / $575.28 / $648.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.69 / $109.69 / $59,999.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.13 / $118.13 / $41,999.58
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