go back

Virginia 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
$309.03 / $2,041.74 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,754.23 / $2,754.23 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $446.68 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$645.65 / $660.69 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $295.12 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$309.03 / $446.68 / $630.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $707.95 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $446.68 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $354.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $812.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $478.63 / $851.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $575.44 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $616.60 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,137.96 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $912.01