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Massachusetts rates for HCPCS 67028

Intravitreal injection of a pharmacologic agent (separate procedure)

Facilitymedian $1,023 · 10th–90th $100$3,6310%10%10th90th$1,023Professionalmedian $151 · 10th–90th $91$5250%10%20%10th90th$151$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$100.00 / $1,905.46 / $3,715.35
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$933.25 / $977.24 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $134.90 / $446.68
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$50.12 / $354.81 / $812.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $645.65 / $2,754.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $169.82 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $181.97 / $251.19
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$302.00 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $199.53 / $346.74
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $151.36 / $194.98
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $147.91 / $302.00
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $794.33 / $851.14
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $346.74 / $758.58
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $645.65 / $2,754.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $169.82 / $426.58
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $549.54 / $1,071.52
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,412.54 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $181.97 / $323.59