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Preventive Treatment For A Retinal Tear Or Weak Spot

New Mexico 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?

$407

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $1,122 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 7 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$380$257 to $575
FacilityA hospital or hospital-owned outpatient department$1,122$537 to $2,344

How much rates vary

Facilitymedian $1,122 · 10th to 90th $372 to $3,020Professionalmedian $380 · 10th to 90th $229 to $813
$200$1K$5K$20Kfacility $1,122professional $380

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
$288.40
Median
$851.14
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$389.05
Typical High
$812.83
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,949.84
Typical High
$3,235.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$537.03
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$87.10
Typical High
$436.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$562.34
Typical High
$1,047.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$2,454.71
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$891.25

Where New Mexico 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.

New Mexico· 47th of 51

$407

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.