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Tennessee 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
$1,052.75 / $4,464.00 / $10,234.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.00 / $3,950.00 / $5,774.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,096.81 / $11,879.05 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00