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Release Of Band Placed Around The Eye

Washington rates for HCPCS 67115

Loosens or divides the band that was placed around the back part of the eye during earlier retinal detachment surgery. The area is reopened and the band is cut or slackened so its grip on the wall of the eye is relieved. It is done when the band causes pain, pressure, or an unwanted change in the shape and focus of the eye.

Rates data updated July 2026.

Facilitymedian $2,291 · 10th–90th $676$17,3780%5%10th90th$2,291Professionalmedian $776 · 10th–90th $427$2,2910%10%10th90th$776$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$3,981.07
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$758.58
Typical High
$1,479.11
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$12,589.25
Typical High
$22,387.21
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$851.14
Typical High
$1,513.56
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,258.93
Typical High
$5,754.40
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$309.03
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$954.99
Typical High
$1,000.00
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$676.08
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$1,412.54
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$12,022.64
Typical High
$21,877.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$11,748.98
Typical High
$22,908.68
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,380.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$602.56
Typical High
$933.25