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Alaska rates for HCPCS 67028

Intravitreal injection of a pharmacologic agent (separate procedure)

Facilitymedian $741 · 10th–90th $105–$2,5120%20%10th90th$741Professionalmedian $214 · 10th–90th $105–$5620%5%10%10th90th$214$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $173.78 / $549.54
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$154.88 / $501.19 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $316.23 / $331.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $162.18 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $288.40 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$154.88 / $489.78 / $758.58
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $457.09 / $562.34
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $147.91 / $741.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $95.50 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $251.19 / $794.33