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Texas 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
$707.95 / $2,951.21 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $407.38 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $467.74 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $257.04 / $398.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $549.54 / $870.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $3,090.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $588.84 / $3,801.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $436.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $346.74 / $562.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $446.68 / $870.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $549.54 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $1,047.13 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $269.15 / $269.15