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Pennsylvania 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
$273.41 / $457.45 / $800.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.68 / $336.93 / $712.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.32 / $529.25 / $973.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.83 / $395.83 / $510.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.70 / $404.70 / $531.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.95 / $530.61 / $1,426.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.99 / $812.10 / $812.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.59 / $437.39 / $989.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.80 / $317.77 / $677.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.07 / $455.99 / $787.28