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Louisiana 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
$593.00 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.44 / $548.94 / $852.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.92 / $620.34 / $1,352.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.81 / $321.18 / $836.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.84 / $298.08 / $796.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.23 / $537.29 / $1,034.70