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Virginia rates for HCPCS 67255

Scleral reinforcement (separate procedure); with graft

Facilitymedian $3,981 · 10th–90th $794–$8,9130%5%10th90th$3,981Professionalmedian $794 · 10th–90th $589–$1,0470%20%10th90th$794$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $5,128.61 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $660.69 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,288.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $891.25 / $1,621.81
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $977.24 / $8,709.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $12,882.50