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Missouri rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.00 / $4,261.00 / $8,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.00 / $591.00 / $2,318.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.10 / $2,344.34 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00