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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.18 / $80.41 / $346.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,704.86 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.45 / $58.66 / $73.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.28 / $76.43 / $145.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.14 / $105.00 / $1,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $83.42 / $580.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,488.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.26 / $76.48 / $145.15