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Minnesota rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $8,912.51 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,570.40 / $6,165.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,288.25 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $10,471.29