go back

Virginia 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
$245.54 / $339.65 / $644.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.83 / $332.87 / $543.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.13 / $643.25 / $4,284.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.35 / $529.25 / $892.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.60 / $367.76 / $468.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.00 / $622.00 / $1,083.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.15 / $773.68 / $7,420.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.16 / $453.75 / $856.88