go back

Nebraska 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
$59.46 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.46 / $93.94 / $346.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.10 / $1,606.29 / $3,132.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.38 / $108.03 / $146.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.49 / $49.49 / $49.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.05 / $170.75 / $220.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.34 / $121.17 / $1,242.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $152.46 / $216.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.65 / $142.53 / $193.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.31 / $159.35 / $198.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.42 / $162.50 / $195.24