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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
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.82 / $1,216.64 / $1,835.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.86 / $912.54 / $1,288.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,391.34 / $5,408.22 / $8,567.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.94 / $1,328.89 / $1,428.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $1,399.00 / $1,399.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.95 / $1,194.07 / $2,478.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.59 / $4,613.00 / $8,135.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.21 / $1,203.99 / $9,602.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $6,455.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.60 / $1,175.75 / $2,201.25