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Missouri rates for HCPCS 67028

Intravitreal injection of a pharmacologic agent (separate procedure)

Facilitymedian $2,818 · 10th–90th $191$8,1280%5%10th90th$2,818Professionalmedian $135 · 10th–90th $87$3550%10%10th90th$135$20.0$100.0$500.0$2.0K$10.0K

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
$125.89 / $1,905.46 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$234.42 / $630.96 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $117.49 / $281.84
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $234.42 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $131.83 / $141.25
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,897.79 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $158.49 / $288.40
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$154.88 / $234.42 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $120.23 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $147.91 / $436.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $218.78 / $954.99
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $186.21 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $194.98 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $549.54 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $123.03 / $218.78