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North Carolina rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,890.45 / $8,317.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $7,244.36 / $10,471.29
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $45,708.82