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Arkansas rates for HCPCS 67025

Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.22 / $1,000.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.02 / $719.57 / $1,044.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,196.23 / $2,196.23 / $2,635.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.90 / $883.98 / $1,036.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.29 / $2,090.29 / $2,090.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.61 / $899.43 / $1,261.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.00 / $1,650.00 / $4,064.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.04 / $813.85 / $1,357.69