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Pennsylvania rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.62 / $2,371.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.54 / $84.55 / $109.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.36 / $86.50 / $157.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $84.39 / $140.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.63 / $99.63 / $128.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,422.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.25 / $91.14 / $1,234.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.80 / $81.80 / $120.03
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.59 / $84.30 / $136.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.93 / $70.09 / $83.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.86 / $77.23 / $88.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.14 / $90.53 / $158.26