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Maryland 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
$275.42 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $457.09 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,737.80 / $2,691.53 / $2,754.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $223.87 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $144.54 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $407.38 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $288.40 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $354.81