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Georgia 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
$891.25 / $3,630.78 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,187.76 / $4,677.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $851.14 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,318.26 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,981.07 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,445.44