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Oregon 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
$933.25 / $1,230.27 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $870.96 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,584.89
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $891.25 / $954.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,413.10 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $9,549.93 / $12,882.50