go back

Massachusetts rates for HCPCS 67042

Vitrectomy Pars Plana Remove Int Memb Retina

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,900.00 / $6,617.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.50 / $1,579.66 / $4,464.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,939.00 / $4,751.20 / $11,879.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,125.97 / $1,125.97 / $1,125.97
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.46 / $1,705.23 / $11,185.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.23 / $2,225.67 / $2,957.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.18 / $2,748.18 / $2,748.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.41 / $2,053.91 / $3,702.29
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.19 / $1,909.00 / $7,218.72
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.33 / $1,547.34 / $2,135.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,383.63 / $2,786.63 / $7,600.85
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.69 / $4,231.20 / $5,142.85
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.89 / $1,771.64 / $4,125.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.00 / $5,063.00 / $12,850.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,125.97 / $1,125.97 / $1,125.97
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.69 / $1,787.72 / $11,185.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,365.00 / $5,413.80 / $12,398.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.51 / $1,699.63 / $3,692.16