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North Carolina rates for HCPCS 67228

Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation

Facilitymedian $955 · 10th–90th $324$5,2480%5%10%10th90th$955Professionalmedian $513 · 10th–90th $295$1,6220%10%20%10th90th$513$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $831.76 / $5,495.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $457.09 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$602.56 / $1,047.13 / $4,073.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $1,698.24
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,096.48 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $724.44 / $1,548.82
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $457.09 / $1,659.59
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,000.00
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $2,238.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $467.74 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,137.96 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $794.33 / $1,445.44
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $3,890.45
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,623.41 / $5,623.41