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New York rates for HCPCS 67005

Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $4,828.00 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,385.00 / $4,133.00 / $9,074.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.51 / $2,390.00 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.78 / $529.78 / $1,685.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $500.18 / $1,209.76
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.78 / $597.00 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $4,840.00 / $9,020.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.49 / $647.49 / $1,396.20