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Wyoming 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
$627.46 / $627.46 / $747.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.00 / $2,976.00 / $3,507.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.31 / $959.80 / $1,402.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.82 / $1,455.74 / $2,358.17