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Kansas 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
$126.25 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.65 / $85.63 / $151.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $106.82 / $119.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.55 / $94.77 / $138.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $110.76 / $797.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.47 / $89.96 / $481.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $526.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $88.15 / $132.24