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Texas rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,224.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.46 / $3,194.54 / $6,406.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.91 / $581.91 / $607.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.19 / $2,578.19 / $2,662.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.45 / $925.09 / $1,543.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.45 / $943.61 / $1,957.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,264.00 / $7,600.00