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North Carolina 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 / $7,585.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $2,951.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,288.25 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $2,951.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $2,630.27
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $11,748.98
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93