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Idaho 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.15 / $83.14 / $112.32
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$108.51 / $108.51 / $225.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.84 / $74.84 / $114.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.26 / $98.87 / $172.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $81.13 / $98.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $89.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.14 / $722.66 / $882.81
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$760.32 / $1,083.99 / $1,376.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.94 / $92.64 / $101.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.78 / $112.22 / $178.44