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Georgia rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,370.32 / $7,413.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,398.83 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,290.87 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,981.07 / $6,918.31