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Georgia 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
$1,353.86 / $5,595.00 / $10,190.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.63 / $4,075.69 / $8,545.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,017.89 / $2,437.56 / $74,999.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.42 / $5,008.00 / $9,852.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.91 / $1,851.50 / $9,380.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.00 / $7,299.00 / $11,889.00