| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $8,431.00 | $10,303.00 | |
Kaiser Permanente
| Professional | $1,336.56 | $1,458.06 | $1,701.07 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |
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 | $2,747.00 | $8,431.00 | $10,303.00 | |
Kaiser Permanente
| Professional | $1,336.56 | $1,458.06 | $1,701.07 | |
United
| Facility | $2,912.00 | $2,912.00 | $2,912.00 |