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West Virginia rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $977.24 / $1,548.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,071.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,122.02 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,348.96