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Arkansas 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
$1,392.01 / $2,028.00 / $9,477.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,063.64 / $4,063.64 / $4,876.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,032.78 / $4,032.78 / $4,032.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,667.00 / $6,957.00