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Maine rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $93.33 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $102.33 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $138.04 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $162.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $112.20 / $162.18