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Vitrectomy With Removal of Membrane Under Retina

Nebraska 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 July 2026.

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

$8,913

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $8,913 for this service. Most negotiated rates run $6,310 to $13,490.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9,550 · 10th to 90th $4,365 to $18,197Professionalmedian $2,818 · 10th to 90th $2,344 to $3,715
$2.0K$5.0K$10.0K$20.0Kfacility $9,550professional $2,818

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$11,481.54
Typical High
$18,197.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,762.47
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,162.28
Typical High
$8,912.51
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,818.38
Typical High
$3,715.35
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$6,165.95
Typical High
$7,585.78

Where Nebraska sits

The same service costs 21.4 times more in Indiana than in Maine. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nebraska $8,913 · 10th of 50
IN $15,136ME $708

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.