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Texas rates for HCPCS 67041

Vitrectomy Pars Plana Remove Preretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.00 / $3,601.00 / $12,729.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.81 / $1,230.86 / $1,805.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.17 / $1,061.17 / $1,286.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.76 / $5,994.78 / $11,378.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.01 / $1,269.10 / $1,780.11
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,474.01 / $3,874.51 / $8,000.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.10 / $1,280.19 / $1,836.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.04 / $3,324.53 / $3,324.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.19 / $2,578.19 / $2,662.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.96 / $1,445.88 / $2,300.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $11,879.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,602.35 / $9,602.35 / $9,602.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.40 / $1,379.52 / $2,160.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.93 / $1,638.99 / $1,966.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.24 / $1,167.89 / $1,371.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.84 / $1,421.42 / $2,431.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.43 / $1,475.85 / $2,186.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,958.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.49 / $1,233.08 / $1,829.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.55 / $1,061.17 / $1,481.07