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Preventive Treatment For A Retinal Tear Or Weak Spot

Vermont 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?

$562

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $501 to $589.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,585 to $1,698Professionalmedian $562 · 10th to 90th $427 to $631
$500$1Kfacility $1,585professional $562

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$870.96
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$616.60
Typical High
$1,258.93

Where Vermont 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.

Vermont· 12th of 51

$562

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.