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Arkansas rates for HCPCS 67108

Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.38 / $2,333.00 / $9,291.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.90 / $1,372.38 / $1,847.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.87 / $1,744.35 / $2,495.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,063.64 / $4,063.64 / $4,876.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.22 / $1,666.61 / $1,851.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,032.78 / $4,032.78 / $4,032.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.29 / $2,075.84 / $2,543.76
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.90 / $1,939.90 / $2,095.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,828.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.44 / $1,570.82 / $2,328.19