| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $5,262.26 | $9,859.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $5,262.26 | $9,859.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 |