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Massachusetts 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
$2,618.00 / $3,107.00 / $8,271.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.77 / $4,751.20 / $11,879.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.18 / $2,748.18 / $2,748.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,186.99 / $1,919.49 / $7,218.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,063.00 / $12,850.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,063.00 / $10,764.00