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Pennsylvania rates for HCPCS 67030

Discission of vitreous strands (without removal), pars plana approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.54 / $2,422.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.57 / $562.82 / $754.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.97 / $561.39 / $953.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.04 / $551.22 / $892.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.93 / $657.93 / $848.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.43 / $641.00 / $2,889.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.60 / $502.60 / $970.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.20 / $567.19 / $892.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.04 / $534.50 / $534.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.04 / $534.50 / $570.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.25 / $582.45 / $1,032.77