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Missouri rates for HCPCS 67015

Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $3,131.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $670.21 / $925.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.27 / $669.05 / $978.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.00 / $386.00 / $1,344.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.80 / $721.15 / $1,434.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.73 / $1,981.00 / $12,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.90 / $708.86 / $4,503.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.34 / $1,880.00 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.90 / $664.95 / $1,124.90