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Maryland rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,138.77 / $4,368.93 / $8,530.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.00 / $1,002.61 / $2,078.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.88 / $1,118.81 / $1,554.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.00 / $2,118.00 / $2,118.00