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Retinopathy Treatment in Infants

Massachusetts rates for HCPCS 67229

A treatment applied to the retina, the light-sensing layer at the back of the eye, in a very young infant with a serious, progressing retinal condition such as retinopathy of prematurity. It uses a laser or a freezing technique to stop abnormal blood vessel growth and reduce the risk of vision loss or retinal detachment. It is generally performed under anesthesia given the patient's young age.

Facilitymedian $2,754 · 10th–90th $1,175$5,1290%10%10th90th$2,754Professionalmedian $1,380 · 10th–90th $1,047$2,8840%10%20%10th90th$1,380$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,884.03
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,818.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,698.24
Typical High
$7,079.46
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,584.89
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,238.72
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,995.26
Typical High
$3,715.35
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,288.25
Typical High
$1,659.59
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,511.89
Typical High
$7,079.46
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,630.27
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,698.24
Typical High
$7,079.46
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,584.89
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,041.74
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$3,019.95