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Massachusetts 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
$69.18 / $2,818.38 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $204.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $630.96 / $2,754.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $95.50 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $131.83 / $223.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $177.83 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $112.20 / $154.88
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,862.09 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $104.71 / $208.93
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $691.83 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $93.33 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $97.72 / $208.93