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Massachusetts rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.69 / $2,079.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.66 / $96.23 / $140.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.18 / $623.42 / $2,713.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.18 / $114.01 / $587.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.11 / $107.88 / $190.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.91 / $53.91 / $53.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.22 / $147.35 / $266.18
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $168.26 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $116.36 / $160.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.24 / $181.66 / $275.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $966.90 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.30 / $136.19 / $845.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,790.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.87 / $111.64 / $280.63