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Alabama rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,778.28 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,951.21 / $4,365.16