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Virginia rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.18 / $3,226.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.61 / $73.05 / $109.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.45 / $82.68 / $116.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $180.41 / $2,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.99 / $119.99 / $119.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $96.90 / $174.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $92.33 / $119.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.89 / $95.78 / $152.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $122.00 / $162.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.96 / $97.56 / $1,380.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.63 / $109.11 / $1,380.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $75.20 / $144.04