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Mississippi rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,584.89 / $2,570.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,398.83 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,691.53 / $6,918.31