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Vitrectomy (Removal of Eye Gel)

West Virginia rates for HCPCS 67036

A surgeon removes the vitreous, the clear gel that fills the middle of the eye, using small mechanical instruments inserted through tiny incisions. This is done to treat conditions such as retinal detachment, severe bleeding inside the eye, or scar tissue pulling on the retina. The removed gel is typically replaced with a saline solution or another substance during the same procedure.

Rates data updated July 2026.

How much does Vitrectomy (Removal of Eye Gel) cost?

$9,825

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $9,825 for this procedure. That total is two separate charges: $912 to the doctor who performs it, and $8,913 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$912$832 to $1,122
Facility feeThe hospital or surgery center$8,913$6,310 to $9,120

How much rates vary

Facilitymedian $8,913 · 10th to 90th $891 to $9,120Professionalmedian $912 · 10th to 90th $776 to $1,122
$1.0K$2.0K$5.0K$10.0Kfacility $8,913professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$8,912.51
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$1,122.02
CareSource
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,096.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,202.26
Typical High
$4,897.79
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$8,128.31
Typical High
$16,982.44
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,348.96
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,943.28
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,380.38

Where West Virginia sits

The same service costs 6.3 times more in Indiana than in Montana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeWest Virginia $9,825 · 8th of 50
IN $15,080MT $2,381

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.