go back

Indiana 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
$1,047.28 / $2,691.51 / $16,042.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $10,700.00 / $17,513.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.59 / $1,356.95 / $2,052.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $908.00 / $2,806.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00