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Texas rates for HCPCS 67228

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.31 / $1,899.00 / $6,386.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$43.71 / $17,772.98 / $17,772.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.23 / $429.70 / $1,127.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.79 / $332.69 / $581.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $281.02 / $1,095.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.68 / $347.13 / $504.99
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.52 / $604.44 / $865.01
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.50 / $441.60 / $586.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.89 / $476.04 / $476.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.24 / $212.24 / $219.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.06 / $432.72 / $1,581.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $2,470.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,000.04 / $5,265.22 / $5,324.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.00 / $634.49 / $1,499.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.23 / $445.41 / $1,329.81
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,127.69 / $2,127.69 / $2,127.69
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.35 / $728.54 / $2,230.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.79 / $355.78 / $603.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.23 / $639.17 / $1,532.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.95 / $450.13 / $1,574.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.00 / $1,529.00 / $3,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.19 / $434.14 / $1,354.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.00 / $315.50 / $441.60