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Wyoming 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
$3,729.60 / $3,729.60 / $12,240.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,456.00 / $5,587.00 / $6,704.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.90 / $2,126.67 / $3,190.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $5,188.00 / $18,767.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,634.26 / $2,359.14 / $5,271.51