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Virginia rates for HCPCS 67040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,079.46 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $1,995.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $4,466.84 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $1,905.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,258.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,949.84 / $2,511.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,380.38 / $2,398.83
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,481.54 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $2,041.74