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North Carolina 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
$206.91 / $785.13 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $423.48 / $674.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.66 / $196.66 / $196.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.24 / $678.06 / $1,194.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.98 / $554.27 / $1,298.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.91 / $542.89 / $883.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.92 / $646.00 / $646.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.52 / $306.80 / $419.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.67 / $525.16 / $1,047.52
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.40 / $1,716.40 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,839.00 / $2,839.00 / $3,089.91