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Missouri 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
$1,378.84 / $5,560.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.00 / $1,378.00 / $2,507.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.65 / $1,500.88 / $2,495.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $9,854.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.38 / $1,767.00 / $2,642.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.28 / $11,777.00 / $13,730.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.69 / $1,758.81 / $3,667.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.63 / $3,797.00 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$306.11 / $1,125.97 / $1,125.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.16 / $1,629.08 / $10,464.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $11,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.23 / $1,527.94 / $2,298.31