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Minnesota rates for HCPCS 67043

Vitrectomy Pars Plana Remove Subretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.00 / $1,272.00 / $10,624.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.00 / $8,289.08 / $15,962.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,956.51 / $4,194.85 / $10,091.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,404.67 / $3,835.10 / $7,945.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.93 / $2,385.14 / $9,793.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00