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California rates for HCPCS 67101

Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $616.60 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $933.25 / $1,584.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $851.14 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $660.69 / $1,023.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $537.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $660.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $616.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $660.69 / $1,023.29
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,096.48
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $478.63 / $912.01