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West Virginia 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
$1,203.45 / $1,203.45 / $3,550.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,241.76 / $1,353.77 / $1,474.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.33 / $1,336.33 / $1,336.33