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Illinois rates for HCPCS 67043

Vitrectomy Pars Plana Remove Subretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.00 / $3,270.00 / $10,073.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,535.43 / $12,496.99 / $27,257.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $875.00 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.03 / $1,907.38 / $6,764.47
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $5,978.00 / $12,241.00