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Minnesota rates for HCPCS 67042

Vitrectomy Pars Plana Remove Int Memb Retina

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.77 / $1,206.77 / $9,480.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.35 / $1,294.28 / $3,259.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,917.71 / $8,289.08 / $15,949.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.62 / $2,452.96 / $3,966.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,804.98 / $3,979.86 / $9,574.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.40 / $3,125.63 / $4,927.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,281.42 / $3,638.54 / $7,538.65
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.86 / $2,654.54 / $4,518.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.95 / $2,342.78 / $10,878.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.39 / $2,192.62 / $6,411.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,331.00 / $10,421.57 / $13,308.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.39 / $2,077.21 / $4,285.06