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Complex Retinal Detachment Repair

Vermont rates for HCPCS 67113

A surgeon repairs a severe, complicated case of retinal detachment, in which the light-sensing layer at the back of the eye has pulled away from its normal position, often involving significant scar tissue. The procedure typically includes removing the vitreous gel from inside the eye and carefully repositioning and securing the retina. This is a more involved version of retinal detachment surgery, used for cases that are harder to fix than a straightforward detachment.

Rates data updated July 2026.

How much does Complex Retinal Detachment Repair cost?

$1,820

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,820 for this service. Most negotiated rates run $1,738 to $1,995.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,183 · 10th to 90th $13,183 to $16,596Professionalmedian $1,820 · 10th to 90th $1,413 to $1,995
$500$1K$2K$5K$10Kfacility $13,183professional $1,820

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,737.80
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$16,595.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$2,041.74
Typical High
$3,548.13
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,949.84
Typical High
$5,754.40

Where Vermont sits

The same service costs 3.2 times more in Wyoming than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 35th of 51

$1,820

WY $4,677DE $1,479

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.