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Oklahoma 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
$1,392.00 / $5,511.00 / $16,900.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,731.25 / $12,194.43 / $19,405.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.66 / $2,184.66 / $2,184.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.52 / $3,000.00 / $9,232.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,524.00 / $9,232.95