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Kentucky 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
$860.00 / $1,287.93 / $13,304.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,288.00 / $4,261.00 / $11,262.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.16 / $1,515.00 / $1,731.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.33 / $1,336.33 / $2,280.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.00 / $4,539.00 / $10,113.00