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New York 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
$1,400.77 / $5,630.00 / $11,996.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,571.81 / $2,644.00 / $12,319.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.86 / $1,244.86 / $2,907.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,260.00 / $2,810.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,375.00 / $13,375.00 / $13,458.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,244.86 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,731.00 / $12,509.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,517.95 / $1,517.95 / $3,469.06