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Indiana rates for HCPCS 67039

Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,897.79 / $17,378.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $18,197.01 / $26,302.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $9,549.93 / $16,218.10