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Indiana rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.12 / $72.16 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $72.16 / $92.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.95 / $52.89 / $79.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.30 / $82.77 / $119.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $87.70 / $131.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.81 / $44.21 / $109.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $83.34 / $147.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.79 / $83.24 / $150.59