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Maine rates for HCPCS 67505

Retrobulbar Injection Alcohol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.02 / $127.36 / $140.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.83 / $91.66 / $115.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.60 / $136.76 / $177.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.80 / $105.19 / $162.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.02 / $107.02 / $127.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.20 / $120.33 / $160.63