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Kansas 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
$1,361.00 / $3,506.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.88 / $822.39 / $1,233.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.70 / $1,171.95 / $1,202.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.85 / $834.66 / $950.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.22 / $943.34 / $1,267.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.58 / $1,134.33 / $6,496.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.42 / $883.02 / $4,696.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,418.00 / $2,902.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.86 / $883.02 / $1,154.24