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Maine rates for HCPCS 67105

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $389.05 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $524.81 / $660.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $707.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $501.19 / $1,148.15