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Rhode Island rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $933.25 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $1,258.93