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Missouri rates for HCPCS 67039

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,802.03 / $12,154.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $9,854.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.28 / $11,777.00 / $13,730.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.69 / $3,464.25 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,516.00 / $3,299.33 / $9,817.00