| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,656.50 | $4,387.00 | $9,932.00 | |
Regence BlueShield
| Facility | $6,275.72 | $7,825.28 | $11,234.31 | |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |
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 | $1,656.50 | $4,387.00 | $9,932.00 | |
Regence BlueShield
| Facility | $6,275.72 | $7,825.28 | $11,234.31 | |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |