go back

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
$78.90 / $1,614.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $78.90 / $96.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.40 / $106.89 / $2,058.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.27 / $87.57 / $261.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.28 / $91.80 / $175.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.05 / $72.00 / $201.77