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Iowa 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
$1,096.48 / $2,511.89 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $812.83 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,479.11 / $2,187.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $891.25 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $6,606.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,584.89 / $4,677.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $1,949.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,754.40 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,949.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $1,621.81