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Maine rates for HCPCS 67041

Vitrectomy Pars Plana Remove Preretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.81 / $1,284.56 / $1,834.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.73 / $1,458.61 / $2,174.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.44 / $2,046.42 / $2,449.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.41 / $1,611.02 / $2,471.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.03 / $1,247.08 / $1,805.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.77 / $1,609.01 / $2,088.61