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Pennsylvania rates for HCPCS 67031

Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.24 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.06 / $378.31 / $584.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.63 / $194.63 / $194.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.00 / $391.23 / $697.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.83 / $374.18 / $614.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.07 / $457.07 / $589.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.09 / $437.35 / $468.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $399.30 / $1,426.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $350.00 / $350.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.83 / $389.25 / $614.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.28 / $373.42 / $415.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.15 / $370.53 / $415.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.00 / $1,219.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.93 / $422.87 / $742.27