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Oklahoma 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
$83.79 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.05 / $83.07 / $83.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.85 / $81.43 / $98.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.96 / $82.89 / $114.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.05 / $112.13 / $1,676.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $79.88 / $481.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $607.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $77.59 / $102.82