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. Author manuscript; available in PMC: 2020 Apr 1.
Published in final edited form as: Am J Ophthalmol. 2019 Jan 24;200:187–200. doi: 10.1016/j.ajo.2019.01.008

Table 7:

Cost Comparative Analysis Between Nontraditional Pneumatic Retinopexy and Either Primary Scleral Buckle or Vitrectomy

Procedure Breakdown Potential
Average
Cost Per
Procedure
in 2017 ($)
Reoperati
on Rates
(%)d
Potential
Average
Total Cost
with Reoperation
s ($)
Potential
Cost
Savings vs.
Scleral
Buckle (%)
Potential
Cost
Savings vs.
Vitrectomy
With/Without
Scleral Buckle (%)
Pneumatic retinopexya 890.76 25.4 2217.25 62.9 61.8
 Surgeon feeb 890.76
Scleral bucklea 5152.75 15.9 5983.10
 Surgeon fee 1152.75
 Ambulatory surgery 3500.00
 center feec
 Anesthesia fee 500.00
Vitrectomya 5222.37 11.0 5796.83
 Surgeon fee 1222.37
 Ambulatory surgery 3500.00
 center fee
 Anesthesia fee 500.00

CPT = Current Procedural Terminology

a

CPT-10 codes: Pneumatic retinopexy (67110), Scleral buckle (67107), Vitrectomy with or without scleral buckle (67108).

b

Surgeon fees for procedures were obtained as National Payment Amounts from Centers for Medicare and Medicaid Services 2017 physician fee schedules.

c

Ambulatory surgery center fee and anesthesia fee were provided by EyeMD, an outpatient ambulatory surgical center located in Oakland, CA, USA.

d

Reoperation rates for nontraditional pneumatic retinopexy assumed to be 25.4%, based upon surgical intervention rates in our study. Reoperation rates for scleral buckle and vitrectomy, 15.9% and 11.0% respectively, were based upon surgical intervention rates given by Adelman et al.34