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Maryland 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

Facilitymedian $295 · 10th–90th $50–$4270%20%40%10th90th$295Professionalmedian $1,380 · 10th–90th $1,000–$1,7780%10%20%10th90th$1,380$100.0$200.0$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,380.38 / $1,778.28
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,258.93 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,230.27 / $2,290.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,122.02 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,071.52 / $2,290.87
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,071.52 / $1,548.82