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Pennsylvania rates for HCPCS 67040

Vtrectomy Mchnl Pars Plna Endolaser Panrta Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,536.00 / $12,474.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.23 / $1,221.55 / $1,709.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.21 / $953.21 / $953.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.40 / $1,508.95 / $2,646.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $1,071.00 / $1,071.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.23 / $1,241.97 / $2,022.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.99 / $1,282.50 / $1,560.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,789.20 / $8,196.03 / $17,064.55
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.75 / $1,241.61 / $2,083.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,459.00 / $5,792.89 / $12,474.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.23 / $1,239.02 / $3,330.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.60 / $1,479.60 / $1,479.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $1,071.00 / $1,071.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.32 / $1,239.17 / $2,022.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$992.73 / $992.73 / $1,548.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.72 / $992.73 / $1,548.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.00 / $3,914.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.93 / $1,235.28 / $1,982.83