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North Carolina rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.18 / $1,245.00 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.95 / $882.18 / $1,246.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.50 / $1,542.09 / $2,398.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.40 / $989.96 / $2,223.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.41 / $946.00 / $1,283.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.02 / $964.00 / $964.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.70 / $819.72 / $2,017.58
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,859.34 / $6,094.44 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,454.32 / $6,454.32 / $7,374.00