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Missouri 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
$304.58 / $3,213.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.88 / $324.26 / $502.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.52 / $542.69 / $805.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.23 / $177.23 / $517.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.64 / $490.27 / $916.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $703.19 / $16,394.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.56 / $628.13 / $2,991.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.95 / $525.92 / $941.93