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Partial Removal Of The Eye's Vitreous Jelly

Montana rates for HCPCS 67005

Removes part of the vitreous, the clear jelly filling the eye, through an opening made at the front of the eye near the edge of the cornea. It is done when the jelly has moved forward into the front chamber of the eye or is pulling on structures there.

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $794$6,7610%50%10th90th$813$500.0$2.0K$10.0K$50.0K

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$812.83
Typical High
$977.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$676.08
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,445.44
Typical High
$4,677.35