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Alaska rates for HCPCS 67515

Injection of medication or other substance into Tenon's capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.25 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $91.45 / $288.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $205.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.15 / $67.45 / $412.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.40 / $147.51 / $266.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.65 / $232.90 / $510.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.45 / $74.39 / $412.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.22 / $257.50 / $580.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.94 / $164.76 / $498.92