go back

Arizona rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,737.80 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,019.95 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,548.82