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Vitrectomy With Focal Laser Treatment

West Virginia rates for HCPCS 67039

Removes the clear jelly from the back of the eye through tiny openings in the wall of the eyeball, then treats specific spots on the retina with a laser passed inside the eye. The jelly is replaced with fluid, gas or oil. It is used for bleeding, scarring or leaking blood vessels at the back of the eye.

Rates data updated October 2026.

How much does Vitrectomy With Focal Laser Treatment cost?

$4,698

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $4,698 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $3,467 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$955 to $1,622
Facility feeThe hospital or surgery center$3,467$1,698 to $4,467

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,413 to $6,457Professionalmedian $1,230 · 10th to 90th $794 to $2,570
$1K$2K$5K$10Kfacility $3,467professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$954.99
Typical High
$1,071.52
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,445.44
Typical High
$6,309.57
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$11,481.54
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,174.90
Typical High
$2,570.40

Where West Virginia sits

The same service costs 3.6 times more in Wisconsin than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 23rd of 51

$4,698

$1,230 physician + $3,467 facility

WI $10,340MT $2,892

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.