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Maine 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
$0.85 / $0.85 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $467.74 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $309.03 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$281.84 / $457.09 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $436.52 / $1,071.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $309.03 / $616.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $446.68 / $1,230.27
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $660.69 / $912.01