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West 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
$1,400.00 / $18,294.28 / $18,294.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.44 / $1,260.34 / $1,373.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.86 / $1,244.86 / $1,244.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,614.95 / $11,614.95 / $11,614.95