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New Jersey 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
$78.88 / $4,540.00 / $11,243.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $76.09 / $112.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $93.68 / $220.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $90.74 / $213.46
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.63 / $726.77 / $1,385.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $77.59 / $118.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.02 / $79.20 / $154.55