go back

Pennsylvania rates for HCPCS 67110

Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,621.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $891.25 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,513.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,513.56
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,479.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $5,888.44 / $9,120.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,071.52 / $1,258.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,981.07 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,995.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,698.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $776.25 / $1,096.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $776.25 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,467.37 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,548.82