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California 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
$4,399.50 / $11,711.00 / $35,870.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.67 / $1,450.00 / $3,830.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.55 / $1,134.22 / $1,570.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $9,624.00 / $19,574.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.80 / $2,282.76 / $4,114.68
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,290.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.45 / $1,579.60 / $3,576.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.57 / $2,977.65 / $4,058.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.20 / $1,759.88 / $3,384.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.11 / $1,527.69 / $1,990.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.66 / $1,460.78 / $2,805.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,513.80 / $11,879.05 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$272.45 / $1,125.97 / $1,125.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,464.70 / $10,464.70 / $10,464.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.67 / $1,858.40 / $2,996.00
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$441.71 / $441.71 / $441.71
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$375.46 / $375.46 / $375.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.25 / $1,805.03 / $3,412.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.75 / $3,915.75 / $3,915.75
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.41 / $1,543.31 / $2,255.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,307.00 / $12,313.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.88 / $1,337.23 / $3,131.99