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