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Ohio 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
$730.97 / $2,324.23 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.33 / $730.97 / $1,297.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.00 / $2,742.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.71 / $670.15 / $1,261.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.32 / $919.86 / $1,525.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.28 / $837.86 / $1,307.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.32 / $1,124.08 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.16 / $836.90 / $1,468.97
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.08 / $1,124.08 / $1,253.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.16 / $852.95 / $1,327.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.18 / $517.70 / $899.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,072.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.28 / $778.02 / $1,676.46