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Texas rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.01 / $3,445.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $80.53 / $122.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.75 / $419.26 / $963.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.17 / $75.05 / $123.22
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.34 / $287.49 / $392.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.41 / $54.41 / $80.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.61 / $40.61 / $41.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.63 / $88.43 / $139.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $441.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.96 / $561.28 / $633.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.38 / $85.01 / $133.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.67 / $93.65 / $119.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.80 / $132.80 / $132.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.06 / $85.16 / $136.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.56 / $90.09 / $143.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $950.00 / $2,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.77 / $79.72 / $119.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.50 / $72.37 / $100.78