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Massachusetts rates for HCPCS 67041

Vitrectomy Pars Plana Remove Preretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,075.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.50 / $1,497.26 / $2,344.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.78 / $4,751.20 / $11,879.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.77 / $1,611.67 / $9,602.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.23 / $2,225.67 / $2,957.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.18 / $2,748.18 / $2,748.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.44 / $2,006.08 / $3,702.29
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.19 / $1,909.00 / $7,218.72
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.33 / $1,547.34 / $2,135.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.63 / $2,786.63 / $6,337.43
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.70 / $2,035.69 / $5,301.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.50 / $1,720.76 / $1,816.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $12,850.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.70 / $1,647.57 / $9,602.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,063.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.70 / $1,583.33 / $3,312.50