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Virginia rates for HCPCS 67505

Retrobulbar injection; alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $2,630.27 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $89.13 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,570.40 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $97.72 / $138.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $354.81 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $95.50 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $123.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $100.00 / $125.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $95.50 / $151.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $102.33 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $112.20 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,202.26 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $70.79 / $134.90