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Vitrectomy With Wide Retina Laser Treatment

New Jersey rates for HCPCS 67040

This eye surgery removes the gel-like fluid inside the eye and combines it with laser treatment applied broadly across the surface of the retina, rather than to just one focused spot. This wide-area laser application is commonly used to help manage advanced diabetic eye disease or other conditions where much of the retina needs treatment to prevent vision loss.

Facilitymedian $9,333 · 10th–90th $4,365$14,1250%10%10th90th$9,333Professionalmedian $1,230 · 10th–90th $891$2,6920%10%20%10th90th$1,230$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$9,332.54
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,318.26
Typical High
$3,019.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,348.96
Typical High
$1,380.38
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$12,302.69
Typical High
$20,417.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,174.90
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,148.15
Typical High
$2,137.96