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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $121.05 / $165.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.15 / $94.77 / $119.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.98 / $115.35 / $180.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $122.76 / $148.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $135.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.14 / $722.66 / $882.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.61 / $127.30 / $153.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.19 / $105.16 / $153.19