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Louisiana 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
$400.00 / $2,081.00 / $4,392.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.19 / $452.81 / $622.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.88 / $976.80 / $1,422.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.07 / $393.55 / $1,086.86
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $451.00 / $451.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.58 / $338.82 / $597.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,049.00 / $2,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.68 / $394.10 / $875.13