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