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Connecticut 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
$114.82 / $4,677.35 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $85.11 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $138.04 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $234.42
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $79.43 / $177.83