go back

Preventive Treatment For A Retinal Tear Or Weak Spot

West Virginia 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?

$447

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $1,778 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 5 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$437$269 to $468
FacilityA hospital or hospital-owned outpatient department$1,778$1,413 to $2,042

How much rates vary

Facilitymedian $1,778 · 10th to 90th $240 to $3,467Professionalmedian $437 · 10th to 90th $229 to $589
$200$500$1K$2Kfacility $1,778professional $437

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
$239.88
Median
$1,778.28
Typical High
$3,467.37
Aetna
Setting
Facility
Modifier
50 · Both sides
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$436.52
Typical High
$588.84
Aetna
Setting
Professional
Modifier
50 · Both sides
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
CareSource
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$263.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$234.42
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$323.59
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$346.74
Typical High
$2,511.89
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Highmark BCBS
Setting
Facility
Modifier
50 · Both sides
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$398.11
Highmark BCBS
Setting
Professional
Modifier
50 · Both sides
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$707.95

Where West Virginia 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.

West Virginia· 41st of 51

$447

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.