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North Dakota 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
$633.41 / $743.12 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.60 / $670.67 / $1,008.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.23 / $1,438.01 / $1,691.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.13 / $1,302.33 / $1,953.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.41 / $1,046.36 / $1,591.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.84 / $1,309.60 / $4,696.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.12 / $1,335.06 / $1,943.63