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Iowa rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $3,981.07 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $870.96 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,951.21 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,606.93 / $10,964.78