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Preventive Treatment For A Retinal Tear Or Weak Spot

Maryland 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?

$316

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,549 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 6 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$316$275 to $575
FacilityA hospital or hospital-owned outpatient department$1,549$295 to $3,467

How much rates vary

Facilitymedian $1,549 · 10th to 90th $275 to $4,365Professionalmedian $316 · 10th to 90th $234 to $1,148
$200$500$1K$2Kfacility $1,549professional $316

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
$275.42
Median
$1,548.82
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$407.38
Typical High
$758.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$1,023.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$354.81

Where Maryland 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.

Maryland· 51st of 51

$316

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.