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Missouri 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
$1,262.88 / $5,389.00 / $11,776.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.03 / $1,262.88 / $2,702.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.13 / $1,461.13 / $1,461.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,517.00 / $9,854.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.00 / $1,293.53 / $2,004.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.00 / $1,552.00 / $2,318.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.16 / $1,467.24 / $2,570.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,516.00 / $10,781.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.02 / $1,381.66 / $6,408.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $11,258.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.92 / $1,378.83 / $2,151.73