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Alabama rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,399.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.88 / $1,246.32 / $1,741.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,442.36 / $1,750.38 / $2,354.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.80 / $954.00 / $1,049.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.57 / $767.68 / $2,636.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.00 / $2,891.00 / $4,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.02 / $798.45 / $1,032.02