go back

New York rates for HCPCS 67039

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.29 / $5,922.00 / $14,113.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.71 / $3,478.50 / $13,477.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.67 / $1,062.67 / $2,907.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,179.00 / $2,403.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,829.96 / $10,829.96 / $10,829.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,062.67 / $74,999.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,731.00 / $12,509.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.77 / $1,297.77 / $3,534.18