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Tennessee 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
$1,256.00 / $3,417.41 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.66 / $1,284.18 / $1,706.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.50 / $1,376.33 / $1,619.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.88 / $4,036.00 / $6,480.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.78 / $1,511.45 / $3,107.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.42 / $1,426.93 / $2,301.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,879.05 / $11,879.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,602.35 / $9,602.35 / $9,602.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.21 / $1,291.80 / $2,309.67