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Alaska rates for HCPCS 67043

Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and laser photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.42 / $13,413.92 / $20,143.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.69 / $1,742.80 / $9,542.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,742.80 / $1,742.80 / $9,542.87