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Ohio rates for HCPCS 67043

Vitrectomy Pars Plana Remove Subretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,777.05 / $8,037.00 / $11,754.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,426.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.83 / $1,762.73 / $2,631.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.33 / $1,938.72 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.72 / $1,938.72 / $2,161.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $6,231.00 / $10,075.00