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
Tennessee
Hospital Address Code Price Last Updated
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville 67025 $2,462 [source] 3 years ago
Ascension Saint Thomas Rutherford 1700 Medical Center Pkwy, Murfreesboro 67025 $2,870 [source] 3 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville 67025 $3,616 [source] 3 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury 67025 $3,616 [source] 3 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville 67025 $3,616 [source] 3 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta 67025 $3,616 [source] 3 years ago
Saint Francis Hospital - Memphis 5959 Park Ave., Memphis 67025 $16,046 [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.