go back

Texas 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
$977.24 / $3,019.95 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $2,137.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $398.11 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,737.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $2,187.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $9,120.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $9,332.54 / $9,332.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,737.80 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,995.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $75.86 / $2,454.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,698.24 / $2,187.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $2,187.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,659.59 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,698.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $977.24 / $977.24