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Vitrectomy With Removal of Membrane Under Retina

Louisiana rates for HCPCS 67043

Eye surgery that removes the vitreous gel from inside the eye with a mechanical instrument, entering through the pars plana at the side of the eye, in order to remove abnormal membrane tissue from beneath the retina. Any tamponade placement and laser treatment performed during the operation are included.

Rates data updated October 2026.

How much does Vitrectomy With Removal of Membrane Under Retina cost?

$4,715

Typical total for the visit. In Louisiana, October 2026.

Insurers have agreed to pay about $4,715 for this procedure. That total is two separate charges: $1,479 to the doctor who performs it, and $3,236 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,479$1,349 to $1,738
Facility feeThe hospital or surgery center$3,236$2,630 to $7,079

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,479 to $10,471Professionalmedian $1,479 · 10th to 90th $1,148 to $2,138
$1K$2K$5K$10Kfacility $3,236professional $1,479

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$3,162.28
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,698.24
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,174.90
Median
$1,288.25
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,096.48
Median
$1,202.26
Typical High
$1,412.54
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$4,265.80
Typical High
$11,220.18
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,737.80
Typical High
$1,737.80
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$2,238.72
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,621.81
United
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$3,019.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$2,511.89

Where Louisiana sits

The same service costs 3.1 times more in Wisconsin than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Louisiana· 31st of 51

$4,715

$1,479 physician + $3,236 facility

WI $10,880OH $3,512

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.