go back

Wisconsin rates for HCPCS 67039

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

Facilitymedian $10,233 · 10th–90th $4,898–$16,9820%10%10th90th$10,233Professionalmedian $1,905 · 10th–90th $891–$2,9510%10%20%10th90th$1,905$500.0$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
$1,445.44 / $9,772.37 / $13,489.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,964.78 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,951.21 / $4,677.35
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $5,754.40 / $10,232.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $5,248.07 / $15,135.61
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $9,332.54 / $15,848.93
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,905.46 / $2,951.21
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $11,748.98 / $11,748.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,022.64 / $14,454.40