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North Dakota rates for HCPCS 67028

Intravitreal injection of a pharmacologic agent (separate procedure)

Facilitymedian $339 · 10th–90th $98–$1,9950%10%20%10th90th$339Professionalmedian $214 · 10th–90th $98–$3800%10%10th90th$214$20.0$100.0$500.0$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
$97.72 / $338.84 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $123.03 / $380.19
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $288.40 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $218.78 / $263.03
BCBS
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$213.80 / $257.04 / $316.23
BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$263.03 / $323.59 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $199.53 / $309.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $181.97 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $218.78 / $316.23
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$263.03 / $331.13 / $436.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $1,819.70 / $2,570.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $181.97 / $269.15