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New York rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $4,265.80 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,786.30 / $10,232.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,995.26
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,122.02 / $3,235.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,071.52 / $3,019.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $1,698.24
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,047.13 / $1,905.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,023.29 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,265.80 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,905.46
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,230.27 / $2,344.23
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,047.13 / $3,388.44