go back

New Jersey 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
$1,511.30 / $8,067.00 / $13,451.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,892.77 / $8,963.46 / $18,652.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,667.00 / $9,969.00 / $19,696.00