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Arkansas rates for HCPCS 67515

Injection Medication/Other Subst Tenon Capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.48 / $975.00 / $2,812.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $76.42 / $110.79
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$225.04 / $225.04 / $225.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.11 / $73.11 / $75.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.22 / $269.22 / $323.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.95 / $66.11 / $73.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.61 / $325.61 / $325.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.52 / $108.53 / $156.62
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.08 / $84.08 / $84.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $306.00 / $768.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $82.88 / $127.19