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Louisiana 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
$1,318.26 / $3,467.37 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,884.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,071.52 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,413.10 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $1,778.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,011.87 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $2,691.53