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Vitrectomy with Internal Limiting Membrane Removal

HCPCS 67042

Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, depot injection), includes, if performed, intraocular tamponade (ie, air, gas) and photocoagulation

AI EXPLANATION: A vitrectomy is an eye surgery where a surgeon removes the clear, jelly-like fluid from inside the eye to access and treat the retina. During this procedure, the surgeon also delicately peels away the internal limiting membrane, which is the ultra-thin top layer of the retina, often to help repair conditions such as macular holes or surface puckering. The procedure may also include applying laser treatment to secure the retina or placing a temporary bubble of gas or air inside the eye to support healing.

Across 8 hospitals, negotiated prices for this code range from $1,193 to $14,992. Each dot below is one payer and plan's rate as published by the hospital.

$0$5k$10k$15k
AdventHealth Castle Rock
AdventHealth Littleton
AdventHealth Parker
Craig Hospital
HCA HealthONE Centennial
HCA HealthONE Sky Ridge
HCA HealthONE South Parker ER
HCA HealthONE Swedish

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AdventHealth Castle Rock CASTLE ROCK, CO, 8010920 plans ▾: $2,112.00 to $11,761.20See details ›
AdventHealth Littleton LITTLETON, CO, 8012219 plans ▾: $2,112.00 to $11,890.40See details ›
AdventHealth Parker PARKER, CO, 8013820 plans ▾: $2,112.00 to $11,761.20See details ›
HCA HealthONE Centennial CENTENNIAL, CO, 8011214 plans ▾: $5,218.10 to $11,924.00See details ›
HCA HealthONE Sky Ridge LONE TREE, CO, 8012414 plans ▾: $5,441.70 to $11,924.00See details ›
HCA HealthONE South Parker ER PARKER, CO, 8013414 plans ▾: $5,441.70 to $11,924.00See details ›
HCA HealthONE Swedish ENGLEWOOD, CO, 8011314 plans ▾: $4,988.50 to $11,924.00See details ›
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