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Arkansas 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
$85.94 / $113.88 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $85.94 / $106.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.22 / $269.22 / $323.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.97 / $91.28 / $109.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.54 / $197.54 / $197.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.27 / $103.43 / $140.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $80.44 / $138.35