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Utah rates for HCPCS 67505

Retrobulbar Injection Alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.63 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.63 / $93.60 / $187.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.80 / $107.42 / $145.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $61.16 / $75.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.75 / $552.34 / $804.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.26 / $122.20 / $186.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $84.81 / $136.30