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Tennessee rates for HCPCS 67040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,265.80 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $2,511.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $933.25 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,365.16 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,137.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $33,884.42
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $5,754.40 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $2,137.96