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Mississippi rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $1,502.00 / $2,197.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.39 / $912.37 / $2,197.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.02 / $1,088.02 / $1,088.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.00 / $1,234.00 / $1,234.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.42 / $1,173.42 / $2,668.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.50 / $1,054.36 / $1,497.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $2,062.00 / $6,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.02 / $946.02 / $1,656.88