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Alabama rates for HCPCS 67028

Intravitreal Njx Pharmacologic Agt Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.64 / $560.00 / $2,250.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,958.88 / $3,958.88 / $3,958.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.26 / $128.69 / $216.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.69 / $101.15 / $134.58
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$149.53 / $149.53 / $151.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.58 / $509.18 / $685.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.61 / $225.45 / $274.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $105.73 / $372.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $103.22 / $189.79