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Missouri 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
$812.83 / $2,570.40 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,202.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,819.70 / $4,168.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $831.76 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,737.80 / $12,022.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,258.93