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Vitrectomy With Removal Of Retinal Surface Membrane

Tennessee 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.

Facilitymedian $3,802 · 10th–90th $1,259$7,5860%5%10%10th90th$3,802Professionalmedian $1,413 · 10th–90th $1,047$2,2910%10%10th90th$1,413$100.0$500.0$2.0K$10.0K

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
$1,148.15
Median
$2,691.53
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,187.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$4,365.16
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,621.81
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,412.54
Typical High
$2,290.87
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$12,302.69
Typical High
$12,302.69
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,238.72