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Kentucky 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
$66.75 / $79.45 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.55 / $76.43 / $92.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $58.90 / $84.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.63 / $81.01 / $95.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.91 / $83.38 / $134.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.93 / $66.31 / $109.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.71 / $94.33 / $300.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $44.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $597.00 / $3,176.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $83.96 / $149.30