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Louisiana rates for HCPCS 67145

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.00 / $1,190.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,164.09 / $1,164.09 / $1,164.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.34 / $474.90 / $858.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$639.87 / $639.87 / $639.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.88 / $976.80 / $1,422.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.81 / $309.77 / $837.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.76 / $485.76 / $485.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $451.00 / $451.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.84 / $276.66 / $801.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,049.00 / $2,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.08 / $523.25 / $941.28