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Vitrectomy With Removal Of Retinal Surface Membrane

Illinois 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.

Facilitymedian $5,129 · 10th–90th $1,259$15,4880%5%10th90th$5,129Professionalmedian $1,585 · 10th–90th $1,096$2,6300%10%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
$1,258.93
Median
$5,128.61
Typical High
$15,488.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,513.56
Typical High
$2,630.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$6,456.54
Typical High
$23,988.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,819.70
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$2,344.23
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,905.46
Typical High
$6,165.95
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$5,370.32
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$2,511.89