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Oklahoma 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
$1,474.00 / $6,422.00 / $16,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.01 / $1,292.47 / $1,515.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,663.72 / $12,194.43 / $19,405.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.95 / $1,513.92 / $1,546.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.66 / $2,184.66 / $2,184.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.47 / $1,556.10 / $2,466.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $3,900.00 / $9,451.59
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,125.97 / $1,125.97 / $1,125.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.00 / $1,349.93 / $2,535.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.75 / $1,311.00 / $1,721.44