go back

Connecticut rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,495.41 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $2,041.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $4,168.69 / $12,022.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,548.82 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,288.25 / $2,511.89
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $977.24 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,079.46 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $954.99 / $2,454.71