go back

Oklahoma rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,467.37 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $7,413.10 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,862.09 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $3,235.94 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,071.52