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Missouri rates for HCPCS 67040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.65 / $5,646.00 / $12,152.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.05 / $1,221.55 / $2,339.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.08 / $1,226.68 / $1,622.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $9,854.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.36 / $1,537.00 / $2,179.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.28 / $11,777.00 / $13,730.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.92 / $1,548.00 / $3,036.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.07 / $3,796.00 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$266.68 / $1,125.97 / $1,125.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.33 / $1,415.39 / $8,894.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.00 / $4,000.00 / $11,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.41 / $1,337.85 / $1,998.54