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Minnesota rates for HCPCS 67505

Retrobulbar Injection Alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.08 / $92.11 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.08 / $92.11 / $187.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.38 / $468.88 / $1,035.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.19 / $170.30 / $291.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.98 / $302.19 / $726.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.38 / $212.27 / $360.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.23 / $276.27 / $572.41
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.15 / $194.78 / $333.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.08 / $134.54 / $258.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.05 / $161.13 / $587.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.29 / $158.13 / $334.36