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Michigan rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $2,041.74 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $147.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $107.15 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $151.36 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $83.18 / $181.97
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,041.74 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $97.72 / $131.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $70.79 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $891.25 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $95.50 / $125.89