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Indiana rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.74 / $2,318.00 / $11,093.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.00 / $5,948.00 / $9,462.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.69 / $832.29 / $1,258.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $646.00 / $2,806.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00