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Missouri 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
$77.19 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.62 / $77.20 / $98.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $76.44 / $125.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.52 / $36.52 / $50.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.54 / $96.79 / $255.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $132.69 / $961.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $100.73 / $580.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $875.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $88.27 / $146.91