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Virginia rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $5,011.87 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $2,570.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $1,737.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $4,365.16 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,148.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,047.13 / $1,122.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $1,659.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $8,709.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,244.36 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $1,445.44