go back

Louisiana rates for HCPCS 67041

Vitrectomy Pars Plana Remove Preretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,448.00 / $5,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.81 / $1,489.02 / $1,919.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,016.12 / $7,550.52 / $11,350.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.46 / $1,504.07 / $2,246.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,324.53 / $3,324.53 / $3,324.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $848.00 / $848.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.72 / $1,278.07 / $1,897.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.00 / $4,717.00 / $10,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.96 / $1,233.08 / $2,247.92