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Hawaii 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
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.04 / $458.00 / $548.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.44 / $351.20 / $421.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.01 / $664.01 / $2,540.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.87 / $309.06 / $351.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.44 / $351.47 / $861.26
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.49 / $338.36 / $4,597.00