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Minnesota 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
$66.76 / $81.30 / $81.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.76 / $81.30 / $165.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.04 / $468.88 / $1,035.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.42 / $151.84 / $263.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.10 / $271.14 / $652.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.64 / $193.40 / $325.10
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.43 / $247.88 / $513.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.33 / $176.08 / $305.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.80 / $118.51 / $228.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $141.94 / $481.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $131.68 / $272.69