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West Virginia 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
$7,284.06 / $7,284.06 / $8,406.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.81 / $1,140.34 / $2,138.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.86 / $1,281.35 / $1,396.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.56 / $1,174.58 / $1,388.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,266.49 / $1,266.49 / $1,266.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.77 / $1,447.77 / $5,266.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,447.25 / $4,447.25 / $14,487.46
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.23 / $1,656.23 / $1,656.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.30 / $1,250.89 / $2,719.87