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Maryland rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.00 / $513.90 / $2,078.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.79 / $807.06 / $1,126.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00