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Vermont rates for HCPCS 67500

Retrobulbar Injection Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.53 / $87.11 / $346.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.30 / $101.73 / $275.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.97 / $113.72 / $149.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.97 / $112.70 / $149.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.29 / $104.29 / $299.45