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Missouri rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $3,715.35 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $912.01 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $831.76 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,000.00 / $2,238.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,511.89 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,398.83 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,513.56