go back

Ohio 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
$297.75 / $5,467.00 / $11,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.80 / $477.29 / $893.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $1,927.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.83 / $612.72 / $989.54
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.26 / $305.26 / $305.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.91 / $400.49 / $489.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.66 / $337.68 / $526.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.91 / $171.62 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.29 / $391.70 / $1,093.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.91 / $153.91 / $171.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.70 / $409.72 / $1,080.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $238.67 / $363.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.00 / $1,848.00 / $3,923.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.83 / $444.25 / $803.19