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Pennsylvania 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
$1,200.39 / $5,977.00 / $14,616.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,545.30 / $9,657.37 / $39,214.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.39 / $5,958.00 / $12,400.37
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.68 / $1,076.68 / $1,327.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.00 / $3,914.00 / $7,508.00