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Virginia rates for HCPCS 67043

Vitrectomy Pars Plana Remove Subretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,510.76 / $7,438.00 / $15,165.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.33 / $1,336.33 / $1,336.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.88 / $1,297.51 / $1,679.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.02 / $1,612.99 / $2,215.67
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.81 / $1,766.09 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00