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Preventive Treatment For A Retinal Tear Or Weak Spot

Iowa rates for HCPCS 67145

This is a treatment applied to a weak area, tear, or thinning spot in the retina, the light-sensing layer at the back of the eye, using a laser to seal it and reduce the risk that it progresses to a full retinal detachment. It is a preventive procedure done before a detachment has actually occurred, over one or more treatment sessions.

Rates data updated July 2026.

How much does Preventive Treatment For A Retinal Tear Or Weak Spot cost?

$490

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $2,239 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$398 to $676
FacilityA hospital or hospital-owned outpatient department$2,239$933 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $427 to $6,761Professionalmedian $490 · 10th to 90th $229 to $1,738
$100$200$500$1K$2K$5K$10Kfacility $2,239professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$2,511.89
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$489.78
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$263.03
Median
$2,754.23
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$575.44
Typical High
$724.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$831.76
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,513.56
Typical High
$4,073.80
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$1,412.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$602.56

Where Iowa sits

The same service costs 3.5 times more in Wyoming than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 26th of 51

$490

WY $1,096MD $316

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.