go back

Idaho rates for HCPCS 67028

Intravitreal injection of a pharmacologic agent (separate procedure)

Facilitymedian $724 · 10th–90th $174$5,4950%5%10%10th90th$724Professionalmedian $158 · 10th–90th $81$4680%10%10th90th$158$50.0$200.0$1.0K$5.0K

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
$309.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $128.82 / $467.74
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$158.49 / $190.55 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $524.81 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$128.82 / $457.09 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $186.21 / $223.87
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$223.87 / $269.15 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $144.54 / $199.53
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $251.19 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $151.36 / $251.19
Moda Health
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$158.49 / $186.21 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $812.83 / $1,148.15
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $234.42
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $141.25 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $147.91 / $208.93