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Minnesota rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,819.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,949.84 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,388.44 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,570.40 / $4,168.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,235.94 / $6,309.57
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $3,630.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,659.59 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $3,090.30