go back

Minnesota rates for HCPCS 67041

Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,230.27 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $9,549.93 / $25,118.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,168.69 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,235.94 / $5,248.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,981.07 / $7,943.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,238.72 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $2,089.30 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,995.26 / $4,073.80