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Pennsylvania 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
$319.70 / $4,262.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.73 / $453.13 / $825.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.64 / $297.64 / $297.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $2,594.00 / $5,296.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.17 / $299.05 / $660.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.36 / $507.64 / $884.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $635.00 / $720.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $756.21 / $1,198.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.08 / $338.19 / $361.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.18 / $483.31 / $1,537.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.79 / $703.50 / $703.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.08 / $412.05 / $909.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.24 / $284.11 / $682.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.45 / $281.86 / $682.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.00 / $1,219.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.70 / $408.77 / $709.22