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Arizona rates for HCPCS 67041

Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,786.30 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,380.38 / $2,570.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,265.80 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,467.37 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,623.41 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,174.90 / $2,041.74