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Arizona rates for HCPCS 67515

Injection of medication or other substance into Tenon's capsule

Facilitymedian $2,188 · 10th–90th $468–$5,6230%5%10%10th90th$2,188Professionalmedian $72 · 10th–90th $45–$1580%5%10%10th90th$72$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $3,090.30 / $6,309.57
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $147.91
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$109.65 / $223.87 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,862.09 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $46.77 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $165.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $75.86 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $93.33 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $933.25 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $75.86 / $112.20