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Iowa 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
$5,091.00 / $7,119.04 / $12,568.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.76 / $1,765.48 / $5,272.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,700.36 / $3,375.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.24 / $1,502.66 / $4,212.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,424.00 / $3,987.81 / $11,732.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.05 / $2,592.40 / $5,395.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,216.54 / $3,156.98 / $4,188.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.65 / $2,788.99 / $3,585.26
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,316.45 / $4,316.45 / $4,316.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.73 / $1,976.08 / $4,367.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.00 / $8,060.00 / $11,869.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.63 / $1,886.71 / $3,724.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.14 / $2,426.60 / $2,609.30