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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.53 / $85.45 / $94.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $91.38 / $135.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.56 / $81.62 / $158.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,417.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $83.56 / $121.43