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Alaska rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $2,691.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,096.48 / $4,897.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $4,897.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,630.78 / $4,897.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $6,918.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $758.58 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $2,041.74 / $6,606.93