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Vermont 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
Professional
Modifier
Low / Median / High Price
$635.62 / $824.92 / $1,191.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.13 / $1,056.44 / $1,289.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.13 / $1,049.78 / $1,289.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.38 / $1,004.12 / $3,047.30