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Vermont 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
$407.38 / $602.56 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $812.83 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $588.84 / $1,202.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $741.31 / $1,258.93