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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.28 / $72.28 / $91.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.00 / $59.00 / $59.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.31 / $69.73 / $106.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.51 / $72.45 / $163.61