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Pennsylvania rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $87.10 / $169.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $85.11 / $144.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $141.25
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $85.11 / $141.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,398.83 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $263.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $177.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $75.86 / $758.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $75.86 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $891.25 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $83.18 / $141.25