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Arizona 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
$1,162.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,514.24 / $1,514.24 / $1,514.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.67 / $78.45 / $149.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$371.25 / $371.25 / $371.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.02 / $58.02 / $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
$438.60 / $1,704.86 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.44 / $42.31 / $50.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.08 / $69.81 / $169.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.24 / $76.05 / $1,868.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $88.23 / $425.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $1,488.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.73 / $77.59 / $137.18