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Maryland rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.30 / $78.90 / $96.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $80.37 / $84.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $32.75 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.02 / $77.90 / $150.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.79 / $90.54 / $125.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $89.00 / $89.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.77 / $70.79 / $127.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.95 / $69.45 / $90.54