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Washington, DC 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
$1,510.76 / $7,238.70 / $9,719.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.63 / $1,427.26 / $2,714.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00