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Ohio rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.04 / $5,135.00 / $10,817.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $3,025.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.66 / $1,002.42 / $2,631.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.66 / $1,938.72 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.72 / $1,938.72 / $2,161.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,072.00 / $6,522.00