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Rhode Island rates for HCPCS 67505

Retrobulbar Injection Alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.41 / $1,543.03 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $94.47 / $103.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.67 / $100.80 / $163.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.65 / $91.74 / $181.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,417.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.66 / $87.11 / $138.13