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Tennessee 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
$1,821.00 / $4,341.45 / $10,746.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.88 / $4,036.00 / $6,480.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,879.05 / $11,879.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00