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Virginia 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
$256.08 / $4,771.00 / $11,425.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.34 / $343.18 / $684.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.08 / $321.08 / $523.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.73 / $621.67 / $2,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.32 / $451.32 / $451.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.64 / $491.83 / $826.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.64 / $324.29 / $414.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.02 / $402.35 / $994.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.00 / $550.00 / $1,003.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.31 / $626.92 / $2,755.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.58 / $698.70 / $2,755.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.00 / $1,890.00 / $3,765.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.26 / $434.12 / $794.19