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Arkansas rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $2,041.74 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,548.82