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Complex Retinal Detachment Repair

West Virginia rates for HCPCS 67113

A surgeon repairs a severe, complicated case of retinal detachment, in which the light-sensing layer at the back of the eye has pulled away from its normal position, often involving significant scar tissue. The procedure typically includes removing the vitreous gel from inside the eye and carefully repositioning and securing the retina. This is a more involved version of retinal detachment surgery, used for cases that are harder to fix than a straightforward detachment.

Rates data updated October 2026.

How much does Complex Retinal Detachment Repair cost?

$5,127

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $5,127 for this procedure. That total is two separate charges: $1,660 to the doctor who performs it, and $3,467 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,660$1,318 to $2,042
Facility feeThe hospital or surgery center$3,467$2,138 to $8,511

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,413 to $21,380Professionalmedian $1,660 · 10th to 90th $1,096 to $3,631
$50$200$1K$5K$20Kfacility $3,467professional $1,660

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,630.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,659.59
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$1,949.84
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$7,079.46
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$12,022.64
Typical High
$21,877.62
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,862.09
Typical High
$1,995.26
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$14,791.08
United
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$3,630.78

Where West Virginia sits

The same service costs 3.1 times more in Alaska than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 36th of 51

$5,127

$1,660 physician + $3,467 facility

AK $12,450MT $3,992

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.