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Pennsylvania rates for HCPCS 67208

Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.54 / $4,262.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.26 / $583.76 / $903.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.09 / $609.25 / $1,075.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.83 / $605.71 / $942.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.73 / $707.73 / $912.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.06 / $412.06 / $412.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.99 / $648.54 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.80 / $670.80 / $1,062.14
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.73 / $609.25 / $942.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.42 / $578.04 / $603.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.30 / $578.04 / $613.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $650.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.02 / $652.00 / $1,110.00