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Vitrectomy With Removal Of Retinal Surface Membrane

Utah 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 $7,413 · 10th–90th $3,162$9,3330%20%10th90th$7,413Professionalmedian $1,202 · 10th–90th $1,072$2,4550%20%10th90th$1,202$50.0$200.0$1.0K$5.0K

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
$3,162.28
Median
$7,413.10
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,737.80
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,235.94
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$7,943.28
Typical High
$12,022.64
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$2,818.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$2,630.27
Typical High
$3,467.37
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$1,949.84