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Pennsylvania rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.00 / $5,511.00 / $11,022.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $1,071.00 / $1,071.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,545.30 / $7,909.26 / $12,913.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,611.16 / $11,083.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $1,071.00 / $1,071.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.37 / $919.37 / $1,346.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.00 / $3,879.00 / $7,508.00