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Louisiana 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
$841.00 / $2,418.00 / $5,150.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,765.26 / $7,393.81 / $10,896.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,850.75 / $3,850.75 / $3,850.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.00 / $965.00 / $965.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00