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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $1,819.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,230.27 / $2,691.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,122.02 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $2,290.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,548.82