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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
$141.25 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $79.43 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $204.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $67.61 / $288.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $138.04 / $229.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $208.93 / $457.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $67.61 / $380.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $74.13 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $165.96 / $467.74