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Minnesota rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.00 / $734.00 / $4,953.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,113.03 / $6,395.87 / $14,449.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,712.28 / $2,429.48 / $5,844.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.68 / $2,221.13 / $4,601.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.59 / $1,298.08 / $6,740.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00