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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
$1,245.00 / $7,439.00 / $11,986.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.75 / $1,133.72 / $2,181.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.21 / $1,300.21 / $1,300.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.94 / $1,840.41 / $3,593.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.32 / $1,463.52 / $3,399.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.08 / $1,431.43 / $1,840.41
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$212.81 / $286.29 / $322.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.00 / $1,425.00 / $1,578.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.31 / $1,291.46 / $2,889.53
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $11,879.05
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,602.35 / $9,602.35 / $9,602.35