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Arkansas rates for HCPCS 67229

Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity), photocoagulation or cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.00 / $1,342.00 / $3,804.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.97 / $1,331.13 / $1,628.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.80 / $539.80 / $647.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.52 / $1,622.01 / $1,802.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.97 / $534.97 / $534.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.08 / $1,484.80 / $2,070.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $932.62 / $1,574.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.77 / $1,189.15 / $2,134.40