go back

Missouri 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
$1,279.01 / $3,214.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.34 / $1,279.01 / $1,768.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.98 / $1,220.39 / $1,946.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $326.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.58 / $1,355.23 / $2,377.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,395.00 / $3,273.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.02 / $1,391.31 / $6,482.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $1,404.00 / $2,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.02 / $1,369.32 / $2,234.90