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Virginia 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
$346.74 / $3,630.78 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $407.38 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $426.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $1,513.56 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $446.68 / $831.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $309.03 / $389.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $676.08 / $741.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $501.19 / $870.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $575.44 / $2,630.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $630.96 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,202.26 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $891.25