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West 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
$1,793.52 / $2,044.50 / $2,622.60
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,089.00 / $4,089.00 / $4,089.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.88 / $426.57 / $499.75
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$654.12 / $662.44 / $664.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.35 / $232.02 / $290.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.65 / $244.95 / $500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.05 / $354.05 / $354.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.94 / $451.37 / $1,268.44
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,249.52 / $7,249.52 / $7,249.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.82 / $335.51 / $388.71
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$583.05 / $583.05 / $583.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.79 / $495.73 / $755.97