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Illinois rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.67 / $1,017.00 / $5,430.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.76 / $85.67 / $136.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.56 / $672.04 / $1,465.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $116.78 / $137.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.63 / $99.71 / $161.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.90 / $111.26 / $354.95
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.17 / $80.34 / $102.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $115.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $963.00 / $3,686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.36 / $96.38 / $169.76