go back

Illinois rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.54 / $3,636.00 / $10,750.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,325.75 / $9,953.35 / $21,709.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,383.00 / $11,558.00 / $13,383.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.08 / $1,477.61 / $5,410.43
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $5,951.00 / $12,241.00