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North Dakota rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.12 / $73.03 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $71.23 / $81.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.91 / $151.22 / $177.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.59 / $122.86 / $200.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.12 / $93.00 / $165.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $140.18 / $481.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.00 / $271.00 / $271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.19 / $123.65 / $173.21