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Texas rates for HCPCS 67039

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $4,168.69 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $6,165.95 / $11,748.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,691.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $33,884.42 / $33,884.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,621.81 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $6,606.93 / $13,803.84