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Preventive Treatment For A Retinal Tear Or Weak Spot

Maine 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?

$389

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $295 to $513.

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.

How much rates vary

Facilitymedian $537 · 10th to 90th $537 to $537Professionalmedian $389 · 10th to 90th $234 to $759
$200$500$1Kfacility $537professional $389

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$281.84
Median
$446.68
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$426.58
Typical High
$645.65
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$309.03
Typical High
$616.60
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$549.54
Typical High
$831.76

Where Maine 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.

Maine· 49th of 51

$389

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.