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Washington, DC rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.01 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.15 / $1,174.01 / $1,174.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.61 / $1,197.81 / $6,701.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.30 / $936.04 / $2,407.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.56 / $1,080.96 / $2,087.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,832.00 / $2,343.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.50 / $852.98 / $2,380.42