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Illinois rates for HCPCS 67105

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.39 / $1,129.00 / $7,123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.79 / $478.12 / $861.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$754.86 / $2,853.48 / $6,223.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.22 / $473.28 / $516.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $11,558.00 / $13,383.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.80 / $447.20 / $861.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.32 / $447.20 / $2,557.92
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.41 / $330.81 / $387.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $438.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $1,905.00 / $4,342.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.04 / $639.41 / $1,023.07