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Iowa rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,089.30 / $2,630.27
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,122.02 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,454.71 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,548.82 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,862.09 / $2,398.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,888.44 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $2,290.87
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,819.70 / $1,949.84