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Kentucky rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $787.00 / $2,747.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,428.00 / $8,517.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.30 / $859.50 / $982.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.66 / $764.66 / $2,280.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00