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Washington rates for HCPCS 67039

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

Facilitymedian $7,943 · 10th–90th $1,738–$19,9530%5%10%10th90th$7,943$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $11,748.98 / $21,877.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,715.19 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $5,011.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,344.23 / $5,754.40
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,862.09 / $2,041.74
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,288.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $11,220.18 / $21,877.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $12,022.64 / $22,908.68