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Massachusetts rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.53 / $2,747.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.53 / $84.72 / $123.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.18 / $623.42 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.41 / $103.01 / $472.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.40 / $96.57 / $170.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.29 / $43.29 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.56 / $129.47 / $225.57
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.80 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.42 / $104.75 / $144.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.05 / $164.63 / $250.41
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,395.62 / $5,395.62 / $5,395.62
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.75 / $522.75 / $522.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.66 / $124.59 / $561.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,790.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.48 / $98.17 / $219.62