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Tennessee 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
$71.04 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $84.23 / $106.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,483.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $94.99 / $188.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.63 / $88.69 / $146.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $441.96 / $450.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.96 / $561.28 / $633.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $80.66 / $161.11