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Iowa rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,468.00 / $4,917.20 / $8,042.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.99 / $1,586.91 / $4,014.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.41 / $2,063.06 / $2,578.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.40 / $1,121.65 / $2,366.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $2,234.82 / $7,104.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.32 / $1,537.18 / $2,795.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.00 / $1,842.31 / $2,409.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.52 / $1,762.15 / $2,409.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.61 / $1,280.14 / $2,400.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.36 / $1,834.10 / $1,972.20