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California rates for HCPCS 67107

Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.09 / $10,143.00 / $25,694.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $9,256.00 / $18,544.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $11,729.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.88 / $2,977.65 / $4,058.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.92 / $1,445.66 / $1,878.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.60 / $1,381.30 / $2,652.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,096.81 / $11,879.05 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.19 / $1,550.75 / $2,400.00
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$417.30 / $417.30 / $417.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,307.00 / $12,313.00 / $26,451.00