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Hawaii 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $6,084.00 / $7,424.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.67 / $1,320.07 / $1,835.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.82 / $1,440.76 / $1,728.92
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.95 / $1,895.34 / $13,672.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.86 / $1,383.13 / $1,613.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.26 / $1,440.76 / $1,859.57
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.33 / $6,954.00 / $9,691.00