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Vitrectomy With Wide Retina Laser Treatment

Virginia 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 $6,166 · 10th–90th $1,288$14,7910%5%10th90th$6,166Professionalmedian $1,318 · 10th–90th $891$3,8900%10%10th90th$1,318$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
$1,412.54
Median
$7,079.46
Typical High
$14,791.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,318.26
Typical High
$5,754.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$1,995.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,041.74
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$1,258.93
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$2,511.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,380.38
Typical High
$2,398.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$2,041.74