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California rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,095.04 / $9,833.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $8,592.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,290.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.57 / $2,977.65 / $4,058.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.31 / $1,355.17 / $2,394.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.67 / $1,184.13 / $2,274.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,061.58 / $11,879.05 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.22 / $1,426.16 / $2,557.30
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$356.15 / $356.15 / $356.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,416.00 / $12,341.00 / $26,451.00