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Ohio rates for HCPCS 67039

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.35 / $7,218.00 / $11,679.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,437.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,142.25 / $1,400.36 / $2,631.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.67 / $1,938.72 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.72 / $2,161.90 / $8,052.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,973.63 / $5,605.00 / $9,483.00