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Mississippi 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
$294.73 / $1,092.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $294.73 / $690.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.86 / $222.86 / $222.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.00 / $1,191.00 / $1,191.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.00 / $190.15 / $771.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.37 / $470.84 / $946.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $825.00 / $1,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.97 / $547.94 / $909.07