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Washington, DC 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
$77.62 / $1,698.24 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $204.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $295.12 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $97.72 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $549.54 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $72.44 / $169.82