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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
$1,778.28 / $5,623.41 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,348.96 / $3,235.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,897.79 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,023.29 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,513.56 / $2,818.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $2,570.40 / $10,715.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,479.11 / $9,549.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $2,089.30