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Virginia 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
$1,749.00 / $5,751.00 / $11,025.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.86 / $1,244.86 / $1,244.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.83 / $1,210.40 / $1,565.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.95 / $1,453.66 / $2,272.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$290.73 / $393.28 / $632.66
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.61 / $1,397.32 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00