go back

Washington rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.64 / $585.61 / $851.85
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.99 / $727.08 / $4,446.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $582.04 / $1,054.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.28 / $719.38 / $1,219.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.89 / $358.26 / $758.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.70 / $663.36 / $851.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.84 / $620.54 / $885.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.55 / $711.70 / $1,004.35