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Vitrectomy With Wide Retina Laser Treatment

Wisconsin 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 $10,965 · 10th–90th $5,012$16,9820%10%10th90th$10,965Professionalmedian $1,549 · 10th–90th $1,000$4,4670%10%10th90th$1,549$50.0$200.0$1.0K$5.0K$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
$1,548.82
Median
$13,489.63
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$3,235.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,995.26
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,162.28
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$3,715.35
Typical High
$5,128.61
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$5,754.40
Typical High
$10,232.93
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,570.40
Typical High
$3,019.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$5,248.07
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,137.96
Typical High
$8,912.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$3,162.28
Typical High
$5,128.61
Quartz
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$2,041.74
Typical High
$3,162.28
Quartz
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$11,748.98
Typical High
$11,748.98
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$812.83
Median
$1,174.90
Typical High
$1,174.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$5,623.41
Typical High
$8,912.51
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Security Health
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,022.64
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$2,137.96
Typical High
$7,762.47