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Texas 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
$1,020.00 / $3,682.00 / $12,729.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,321.95 / $5,918.41 / $11,607.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.87 / $3,850.75 / $3,850.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.19 / $2,578.19 / $2,662.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.17 / $1,375.43 / $2,239.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.17 / $1,402.70 / $2,475.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,958.00 / $13,134.00