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Colorado 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
$2,674.00 / $6,028.00 / $11,529.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,946.00 / $9,472.00 / $17,487.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.24 / $1,803.76 / $2,357.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.88 / $1,638.71 / $2,216.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,128.00 / $11,924.00 / $19,737.00