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Texas rates for HCPCS 67228

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

Facilitymedian $1,413 · 10th–90th $263$5,8880%5%10th90th$1,413Professionalmedian $457 · 10th–90th $302$1,3490%10%10th90th$457$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
$446.68 / $2,089.30 / $6,918.31
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$43.65 / $10,000.00 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $467.74 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$933.25 / $954.99 / $2,818.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$354.81 / $354.81 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $281.84 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $512.86
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $588.84 / $1,000.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $426.58 / $602.56
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $436.52 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $3,890.45
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,623.41
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $891.25 / $3,548.13
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$43.65 / $10,000.00 / $17,782.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $457.09 / $1,230.27
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$933.25 / $954.99 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $831.76
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,137.96 / $2,238.72
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $478.63 / $724.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $478.63 / $1,445.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $436.52 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $1,412.54 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $426.58 / $1,230.27
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $346.74 / $346.74