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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 9 hospitals, negotiated prices for this code range from $0 to $25,839. Each dot below is one payer and plan's rate as published by the hospital.

$0$10k$20k$30k
Jacobi Medical Center
Lincoln Hospital
Montefiore Hospital Moses Campus
Montefiore Hutchinson Campus
Montefiore Jack D. Weiler Hospital
Montefiore Wakefield Campus
Montefiore Westchester Square Campus
North Central Bronx Hospital
The Children's Hospital at Montefiore

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Jacobi Medical Center BRONX, NY, 1046199 plans ▾ $4,760.49: $410.60 to $7,496.93See details ›
Lincoln Hospital BRONX, NY, 1045199 plans ▾ $4,760.49: $410.60 to $7,444.94See details ›
Montefiore Hospital Moses Campus BRONX, NY, 1046724 plans ▾: $6,389.20 to $25,839.00See details ›
Montefiore Hutchinson Campus BRONX, NY, 1046124 plans ▾: $6,389.20 to $25,839.00See details ›
Montefiore Jack D. Weiler Hospital BRONX, NY, 1046124 plans ▾: $6,389.20 to $25,839.00See details ›
Montefiore Wakefield Campus BRONX, NY, 1046624 plans ▾: $6,389.20 to $25,839.00See details ›
Montefiore Westchester Square Campus BRONX, NY, 1046124 plans ▾: $6,389.20 to $25,839.00See details ›
North Central Bronx Hospital BRONX, NY, 1046798 plans ▾ $4,760.49: $405.50 to $7,433.60See details ›
The Children's Hospital at Montefiore BRONX, NY, 1046724 plans ▾: $6,389.20 to $25,839.00See details ›
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