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Alaska rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $10,480.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.63 / $1,013.90 / $5,353.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.90 / $1,013.90 / $5,353.19