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Utah rates for HCPCS 67145

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation

Facilitymedian $2,239 · 10th–90th $479–$4,5710%10%10th90th$2,239Professionalmedian $501 · 10th–90th $224–$1,1750%10%10th90th$501$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $501.19 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$645.65 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $407.38 / $831.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,230.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,071.52 / $1,621.81
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,174.90 / $1,621.81 / $2,454.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $371.54 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $524.81 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $758.58