go back

Washington, DC 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
$954.99 / $2,754.23 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $794.33 / $1,621.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,071.52 / $7,943.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $812.83 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $933.25 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,778.28