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Washington, DC rates for HCPCS 67028

Intravitreal Njx Pharmacologic Agt Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.35 / $843.25 / $3,175.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,571.27 / $2,571.27 / $2,832.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.73 / $117.00 / $144.49
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$654.38 / $654.38 / $654.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.97 / $208.15 / $823.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.23 / $210.83 / $444.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.38 / $135.91 / $258.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.85 / $135.91 / $281.54