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Retinopathy Treatment in Infants

Nebraska 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 $5,012 · 10th–90th $1,660$10,9650%10%10th90th$5,012Professionalmedian $1,738 · 10th–90th $1,072$3,7150%10%10th90th$1,738$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,344.23
Median
$5,011.87
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$6,309.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,495.41
Typical High
$10,715.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,698.24
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,995.26
Typical High
$6,165.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,238.72
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,548.13
Midlands
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,570.40
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,548.82
Typical High
$5,248.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,238.72
Typical High
$2,884.03