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Louisiana rates for HCPCS 67040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $3,388.44 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $2,137.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,413.10 / $10,715.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,584.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,011.87 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $2,344.23