go back

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
$0.86 / $762.60 / $812.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.37 / $454.31 / $812.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.32 / $277.20 / $361.71
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$331.98 / $415.82 / $542.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.66 / $438.74 / $647.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.63 / $306.18 / $469.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.95 / $411.16 / $812.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.12 / $705.71 / $882.73