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New York 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
$1,425.17 / $5,370.00 / $12,089.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.82 / $1,364.13 / $2,702.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.29 / $1,083.29 / $1,083.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.98 / $1,264.03 / $2,748.24
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.22 / $3,478.50 / $13,477.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.22 / $1,600.22 / $1,600.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.49 / $1,266.49 / $2,907.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.08 / $1,487.78 / $3,451.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,232.00 / $2,855.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.83 / $1,522.92 / $2,366.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.21 / $1,224.65 / $2,295.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.35 / $5,399.35 / $7,927.84
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.58 / $1,353.35 / $1,400.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,266.49 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.90 / $1,569.85 / $3,470.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $5,731.00 / $12,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.37 / $1,291.46 / $2,573.71
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.03 / $1,544.03 / $3,735.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.21 / $1,544.03 / $2,870.94