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Missouri 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
$1,240.58 / $4,908.00 / $11,774.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $9,854.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.28 / $11,777.00 / $13,730.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.58 / $3,405.18 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $11,258.00