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Alaska rates for HCPCS 67500

Retrobulbar injection; medication (separate procedure, does not include supply of medication)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.57 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.35 / $367.94 / $431.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.77 / $84.77 / $245.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.31 / $93.99 / $616.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.08 / $223.20 / $402.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.25 / $309.39 / $419.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.10 / $111.81 / $616.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $304.50 / $479.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $196.60 / $595.34