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West Virginia rates for HCPCS 67028

Intravitreal injection of a pharmacologic agent (separate procedure)

Facilitymedian $794 · 10th–90th $112$2,3990%10%10th90th$794Professionalmedian $117 · 10th–90th $87$2880%10%10th90th$117$50.0$100.0$200.0$500.0$1.0K$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 / $630.96 / $2,398.83
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$676.08 / $2,089.30 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $112.20 / $190.55
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$128.82 / $288.40 / $288.40
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $109.65 / $144.54
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $114.82 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $147.91 / $3,235.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $707.95 / $1,318.26
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$575.44 / $1,412.54 / $2,187.76
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $151.36 / $213.80
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$234.42 / $316.23 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $933.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $158.49 / $302.00