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Alabama rates for HCPCS 67515

Injection Medication/Other Subst Tenon Capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.39 / $781.00 / $1,768.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.46 / $75.62 / $100.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.01 / $46.01 / $58.02
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.03 / $87.03 / $87.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.60 / $509.18 / $685.01
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$630.90 / $763.76 / $1,027.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.41 / $92.54 / $94.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $93.36 / $335.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.99 / $62.05 / $91.18