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Indiana 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
$1,065.75 / $3,500.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.75 / $1,168.30 / $1,740.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.69 / $1,030.69 / $1,339.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.00 / $10,288.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.66 / $1,363.33 / $1,836.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.69 / $1,379.84 / $2,087.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.69 / $1,288.35 / $1,855.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $1,266.49 / $2,806.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.16 / $1,309.66 / $2,115.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.29 / $1,291.80 / $2,244.90