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Vermont rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $1,584.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $3,467.37