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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.16 / $708.97 / $892.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $418.00 / $418.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.18 / $626.73 / $1,025.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.17 / $697.47 / $1,656.36