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Indiana rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,897.79 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $8,317.64 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,348.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $912.01 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,623.41 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,479.11