go back

Arkansas rates for HCPCS 67028

Intravitreal injection of a pharmacologic agent (separate procedure)

Facilitymedian $513 · 10th–90th $115–$1,8200%5%10%10th90th$513Professionalmedian $120 · 10th–90th $83–$3310%10%10th90th$120$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$114.82 / $660.69 / $2,041.74
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $114.82 / $257.04
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$33.88 / $154.88 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $120.23 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $162.18 / $338.84
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $223.87
Qualchoice
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$309.03 / $309.03 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $446.68 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $128.82 / $229.09