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Vermont rates for HCPCS 67250

Scleral Reinforcement Spx W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.20 / $890.05 / $4,476.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.44 / $1,295.79 / $1,568.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.44 / $1,199.43 / $1,568.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.70 / $1,077.48 / $3,473.09