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Illinois rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Facilitymedian $3,090 · 10th–90th $1,023–$8,5110%5%10%10th90th$3,090Professionalmedian $1,072 · 10th–90th $575–$3,4670%10%10th90th$1,072$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,165.95 / $14,454.40
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,071.52 / $3,467.37
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,548.13 / $7,585.78