go back

Arizona rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $88.85 / $412.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.77 / $67.40 / $81.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.67 / $83.03 / $168.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.73 / $115.97 / $1,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.92 / $86.48 / $845.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,488.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.40 / $83.68 / $159.58