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South Carolina 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
$1,497.59 / $9,622.00 / $18,276.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,328.47 / $9,336.14 / $15,602.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,424.28 / $3,424.28 / $3,424.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.89 / $1,572.47 / $2,110.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,666.00 / $16,223.00 / $23,485.00