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Missouri 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
$339.27 / $4,908.00 / $11,774.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.62 / $353.87 / $684.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,500.00 / $9,854.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.18 / $579.00 / $957.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.00 / $11,777.00 / $13,730.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.52 / $486.16 / $1,127.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.70 / $832.69 / $11,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.39 / $613.04 / $4,446.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,729.00 / $2,768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.99 / $443.87 / $751.74