| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.00 | $1,775.00 | $2,729.00 | |
BCBS
| Facility | $4,291.18 | $5,207.55 | $7,005.82 | |
United
| Facility | $1,485.00 | $4,121.00 | $7,227.00 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.00 | $1,775.00 | $2,729.00 | |
BCBS
| Facility | $4,291.18 | $5,207.55 | $7,005.82 | |
United
| Facility | $1,485.00 | $4,121.00 | $7,227.00 |