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Maine rates for HCPCS 67141

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $467.74 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $316.23 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $1,047.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $676.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $457.09 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $660.69 / $891.25