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Nebraska rates for HCPCS 67028

Intravitreal injection of a pharmacologic agent (separate procedure)

Facilitymedian $1,820 · 10th–90th $234$8,5110%5%10%10th90th$1,820Professionalmedian $178 · 10th–90th $89$3630%5%10%10th90th$178$50.0$200.0$1.0K$5.0K$20.0K

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
$234.42 / $3,388.44 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $134.90 / $323.59
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$151.36 / $295.12 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $107.15 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$208.93 / $316.23 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,621.81 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $154.88 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $263.03 / $331.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $199.53 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $223.87 / $338.84
Medica
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$125.89 / $213.80 / $371.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $234.42 / $309.03
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $281.84
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $758.58 / $758.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,047.13 / $3,801.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $269.15