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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,302.75 / $1,596.70 / $1,878.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,687.01 / $9,687.01 / $12,031.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.35 / $2,473.48 / $4,251.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.90 / $1,983.48 / $3,326.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.70 / $1,959.08 / $3,326.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.62 / $1,832.49 / $4,915.71