go back

Pennsylvania rates for HCPCS 67141

Proph Retinal Dtchmnt W/O Drg Crtx Diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.70 / $2,675.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.10 / $389.91 / $592.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $2,594.00 / $5,296.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.27 / $270.08 / $939.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.17 / $425.42 / $698.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.87 / $318.87 / $411.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.06 / $412.06 / $412.06
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.60 / $326.19 / $327.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.75 / $423.48 / $1,064.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.64 / $569.10 / $569.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.47 / $426.77 / $708.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.97 / $257.87 / $484.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.38 / $255.14 / $484.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $650.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.28 / $550.34 / $967.30