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Maryland rates for HCPCS 67041

Vitrectomy Pars Plana Remove Preretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327.52 / $3,795.34 / $4,832.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.81 / $1,358.98 / $3,151.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.77 / $1,217.33 / $1,506.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.00 / $1,349.24 / $2,078.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.04 / $1,232.26 / $2,194.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.75 / $1,330.26 / $1,735.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.00 / $2,118.00 / $2,118.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.70 / $1,116.47 / $2,019.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.21 / $1,216.90 / $1,330.26