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Idaho rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $123.03 / $186.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $416.87 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $141.25 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $104.71 / $147.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $131.83 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $117.49 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $724.44 / $912.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $144.54 / $177.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $120.23 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $107.15 / $162.18