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Vitrectomy With Wide Retina Laser Treatment

West 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.

Rates data updated July 2026.

How much does Vitrectomy With Wide Retina Laser Treatment cost?

$7,288

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $7,288 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $6,166 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$1,023 to $1,288
Facility feeThe hospital or surgery center$6,166$6,166 to $11,749

How much rates vary

Facilitymedian $6,166 · 10th to 90th $1,023 to $11,749Professionalmedian $1,122 · 10th to 90th $891 to $1,288
$1K$2K$5K$10Kfacility $6,166professional $1,122

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,165.95
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,288.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,258.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$4,168.69
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,548.82
Typical High
$7,244.36
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$8,511.38
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,943.28
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$1,995.26

Where West Virginia sits

The same service costs 5.9 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 24th of 50

$7,288

$1,122 physician + $6,166 facility

IN $16,284MD $2,767

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.