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Oregon rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.56 / $7,920.26 / $20,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $691.00 / $691.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.28 / $1,443.72 / $1,605.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.70 / $1,179.08 / $2,239.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.48 / $1,296.45 / $1,623.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.18 / $1,601.99 / $6,437.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,698.81 / $7,379.02 / $15,220.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $9,074.00 / $12,786.00