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California rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.23 / $6,695.00 / $18,293.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $71.23 / $319.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.00 / $4,465.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.19 / $106.74 / $205.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,581.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $68.20 / $164.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.90 / $62.52 / $63.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.59 / $88.37 / $179.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.80 / $98.76 / $179.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.26 / $85.42 / $158.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $441.96 / $450.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.96 / $561.28 / $633.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.91 / $91.90 / $134.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.56 / $93.46 / $187.01
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.25 / $198.25 / $237.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.17 / $155.26 / $268.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.00 / $1,495.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $78.23 / $188.86