go back

Vermont rates for HCPCS 67028

Intravitreal Njx Pharmacologic Agt Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.54 / $120.97 / $181.68
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$33.86 / $177.03 / $209.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.57 / $458.57 / $495.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.29 / $375.02 / $409.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.84 / $167.99 / $329.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.63 / $167.99 / $329.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.68 / $256.94 / $414.89