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Massachusetts rates for HCPCS 67040

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

Facilitymedian $3,631 · 10th–90th $1,148–$8,5110%5%10%10th90th$3,631Professionalmedian $1,549 · 10th–90th $1,047–$2,7540%10%10th90th$1,549$100.0$500.0$2.0K$10.0K$50.0K

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
$1,862.09 / $3,630.78 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,348.96 / $2,570.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $6,165.95 / $13,803.84
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,659.59 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,041.74 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,819.70 / $3,388.44
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,288.25 / $5,248.07
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,148.15 / $1,479.11
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,584.89 / $2,818.38
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,187.76 / $8,511.38
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,621.81 / $2,137.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $6,165.95 / $13,803.84
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,659.59 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,754.40 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,737.80 / $3,548.13