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
Wisconsin
Hospital Address Code Price Last Updated
Ascension Calumet Hospital 614 Memorial Dr, Chilton 67025 $1,923 [source] 3 years ago
Ascension Sacred Heart Rehabilitation Hospital 2323 N Lake Dr, Milwaukee 67025 $2,279 [source] 3 years ago
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff 67025 $3,017 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand 67025 $3,326 [source] 3 years ago
River Falls Area Hospital , River Falls 67025 $3,855 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee 67025 $4,744 [source] 3 years ago
Ascension St Francis Hospital 3237 S 16Th St, Milwaukee 67025 $6,326 [source] 3 years ago
Ascension Se Wisconsin Hospital-St Joseph Campus 5000 W Chambers St, Milwaukee 67025 $6,326 [source] 3 years ago
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin 67025 $6,326 [source] 3 years ago
Ascension All Saints Hospital 1320 Wisconsin Ave, Racine 67025 $6,326 [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.