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Minnesota 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
$1,186.63 / $1,186.63 / $8,302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,833.62 / $8,289.08 / $15,949.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.68 / $3,914.16 / $9,416.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,243.76 / $3,578.48 / $7,414.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.10 / $2,118.52 / $10,421.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00