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Minnesota rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.61 / $979.61 / $5,572.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.61 / $1,063.54 / $1,964.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.96 / $4,951.24 / $9,450.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.68 / $1,913.53 / $3,165.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.84 / $3,210.64 / $7,723.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.83 / $2,486.23 / $3,919.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.47 / $2,935.30 / $6,081.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.76 / $2,111.52 / $3,594.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.12 / $1,655.54 / $5,625.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.36 / $1,489.52 / $3,414.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.36 / $1,452.87 / $3,139.07