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West Virginia 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
$64.55 / $77.14 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.30 / $77.14 / $121.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.34 / $75.09 / $81.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.72 / $73.90 / $95.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.59 / $109.59 / $109.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.74 / $94.07 / $300.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.10 / $72.81 / $121.67