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North Carolina 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
$61.05 / $109.82 / $1,615.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.05 / $72.16 / $106.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.47 / $76.47 / $76.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.87 / $124.18 / $189.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.82 / $88.19 / $197.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.05 / $81.00 / $153.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $105.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $896.00 / $2,229.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $79.03 / $176.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $441.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.96 / $561.28 / $633.60