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West 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
$279.43 / $469.99 / $752.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.94 / $313.99 / $398.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.45 / $613.94 / $1,720.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.82 / $521.58 / $1,071.85