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West Virginia 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
$616.60 / $724.44 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $741.31 / $1,258.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $758.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,174.90