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Utah rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.06 / $85.34 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.33 / $85.34 / $137.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.75 / $99.27 / $126.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $60.00 / $75.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.75 / $552.34 / $804.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.91 / $107.23 / $156.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $80.92 / $120.07