| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
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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 | Typical Low | Median | Typical High |
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