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Wyoming 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
$215.88 / $271.60 / $406.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.00 / $1,024.00 / $1,282.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.04 / $692.97 / $1,012.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.12 / $1,034.33 / $1,699.10