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North Carolina 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
$1,245.00 / $5,827.84 / $11,986.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.27 / $1,392.00 / $2,470.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$209.08 / $290.73 / $494.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,096.81 / $11,879.05 / $26,542.00