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Iowa rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,172.55 / $4,604.83 / $8,042.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.92 / $870.37 / $2,103.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.47 / $2,024.52 / $10,015.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.26 / $2,070.44 / $4,188.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $5,327.00 / $8,342.00