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Michigan rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.33 / $464.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $94.33 / $116.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.11 / $82.95 / $111.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $106.07 / $151.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.61 / $78.09 / $155.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.93 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.44 / $94.33 / $133.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.45 / $67.94 / $92.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $1,386.00 / $2,449.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.22 / $101.77 / $131.04