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Louisiana 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
$95.33 / $2,060.00 / $3,884.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.56 / $101.58 / $128.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.02 / $461.15 / $667.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.33 / $94.58 / $119.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.86 / $87.30 / $131.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.34 / $78.45 / $147.83