go back

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
$1,778.28 / $5,623.41 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $4,073.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,318.26 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $2,691.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,071.52 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $11,748.98 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,778.28 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $3,801.89 / $26,302.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$309.03 / $1,122.02 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,698.24 / $10,471.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,513.56 / $2,238.72