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Vitrectomy With Removal Of Retinal Surface Membrane

Nebraska rates for HCPCS 67041

This eye surgery removes the gel-like substance inside the eye and also strips away a thin scar-like membrane that has formed on the surface of the retina, sometimes called a macular pucker, which can distort or blur vision. It is performed using small incisions and specialized instruments.

Rates data updated July 2026.

Facilitymedian $7,943 · 10th–90th $4,365$15,1360%20%10th90th$7,943Professionalmedian $1,995 · 10th–90th $1,047$2,8840%10%20%10th90th$1,995$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$8,511.38
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,995.26
Typical High
$2,630.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,819.70
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,630.27
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,187.76
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,548.13
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,511.89
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$6,165.95
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,344.23
Typical High
$3,090.30