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Vitrectomy With Removal Of Retinal Surface Membrane

Michigan rates for HCPCS 67041

This eye surgery removes the gel-like substance inside the eye and also strips away a thin scar-like membrane that has formed on the surface of the retina, sometimes called a macular pucker, which can distort or blur vision. It is performed using small incisions and specialized instruments.

Rates data updated July 2026.

Facilitymedian $4,898 · 10th–90th $1,622$8,7100%10%20%10th90th$4,898Professionalmedian $1,479 · 10th–90th $1,023$2,2390%20%10th90th$1,479$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,897.79
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$2,041.74
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,041.74
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$7,079.46
Typical High
$11,481.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,412.54
Typical High
$1,995.26