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Wyoming 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
$245.47 / $309.03 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $2,511.89