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Idaho 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
$4,500.00 / $4,805.00 / $6,899.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.03 / $2,364.19 / $3,698.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,334.89 / $10,854.89 / $13,325.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00