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New York rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.80 / $4,442.00 / $9,868.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.10 / $1,990.00 / $8,917.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.66 / $764.66 / $2,907.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $920.00 / $1,735.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $764.66 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $4,370.00 / $9,187.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.16 / $934.16 / $2,467.78