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Delaware rates for HCPCS 67141

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.20 / $476.44 / $592.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.00 / $559.00 / $559.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.54 / $406.25 / $595.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.13 / $483.26 / $1,176.43