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Vermont rates for HCPCS 67141

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $524.81 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $676.08 / $870.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $1,258.93