go back

Idaho 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
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,380.38 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $4,677.35 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,445.44 / $2,041.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $2,454.71 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,659.59 / $2,089.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,120.11 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,187.76 / $3,162.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,995.26 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,232.93 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $2,398.83