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Vitrectomy With Removal Of Retinal Surface Membrane

Idaho rates for HCPCS 67041

This eye surgery removes the gel-like substance inside the eye and also strips away a thin scar-like membrane that has formed on the surface of the retina, sometimes called a macular pucker, which can distort or blur vision. It is performed using small incisions and specialized instruments.

Rates data updated July 2026.

Facilitymedian $5,495 · 10th–90th $1,950$12,3030%10%10th90th$5,495Professionalmedian $1,585 · 10th–90th $1,148$2,4550%10%20%10th90th$1,585$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
$4,365.16
Median
$4,466.84
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,454.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,677.35
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,137.96
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$2,041.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,949.84
Typical High
$3,235.94
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$9,120.11
Typical High
$13,803.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,238.72
Typical High
$2,398.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$4,265.80
Typical High
$8,511.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,995.26
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$22,387.21
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$2,398.83