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Wisconsin rates for HCPCS 67101

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

Professionalmedian $525 · 10th–90th $302–$1,2880%5%10%10th90th$525$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $549.54 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $758.58 / $1,659.59
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $758.58 / $933.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $1,047.13 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,023.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,258.93 / $2,454.71
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $741.31 / $1,174.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,513.56 / $4,466.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,584.89
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,754.23 / $3,235.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $660.69 / $1,445.44