Code: 67025

Description:
HC NJX VTS SUB PARS PLNA/LIMBAL SPX
Other Descriptions:
INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX
Replace eye fluid
SP INJECTION OF VITREOUS SUBSTITUTE, PARS PLANA AP
Related codes:
Code: 67027
Implant eye drug system
Code: 67028
HC INTRAVITREAL NJX PHARMACOLOGIC AGT SPX
Oklahoma
Hospital Address Code Price Last Updated
St. John Owasso 12451 E 100Th St N, Owasso 67025 $1,636 [source] 3 years ago
St. John Medical Center 1923 S Utica Ave, Tulsa 67025 $1,636 [source] 3 years ago
St John Sapulpa, Inc. 1004 E Bryan Ave, Sapulpa 67025 $3,784 [source] 3 years ago
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.