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Indiana rates for HCPCS 67040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $7,762.47 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,230.27 / $2,344.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $18,197.01 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $2,454.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,698.24 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $9,549.93 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $2,137.96