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North Carolina 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
$603.32 / $983.92 / $5,449.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.00 / $714.75 / $1,191.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.16 / $950.26 / $1,804.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.45 / $828.08 / $1,796.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.32 / $800.52 / $1,212.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.36 / $895.00 / $895.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.10 / $749.68 / $1,976.49
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,002.89 / $5,002.89 / $12,000.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,556.39 / $5,690.45 / $6,062.55