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Nationwide rates for HCPCS 67042

Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil)

Facilitymedian $6,457 · 10th–90th $1,778$14,4540%5%10%10th90th$6,457Professionalmedian $1,445 · 10th–90th $1,096$3,3110%20%10th90th$1,445$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $5,888.44 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,412.54 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $8,912.51 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,659.59 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $3,388.44 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,778.28 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,606.93 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,445.44 / $2,754.23