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Texas rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.16 / $3,939.00 / $12,941.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,380.77 / $5,994.78 / $11,607.72
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $3,874.51 / $8,100.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.61 / $3,505.01 / $3,505.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.19 / $2,578.19 / $2,662.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.52 / $1,302.42 / $2,576.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.48 / $1,352.60 / $2,714.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,958.00 / $13,134.00