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North Carolina 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 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $2,570.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $1,778.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,479.11 / $3,090.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $2,691.53
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $33,884.42
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51