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Illinois 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
$66.07 / $1,380.38 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$616.60 / $616.60 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $79.43 / $165.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$43.65 / $162.18 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $48.98 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $478.63 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $81.28 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $74.13 / $165.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $79.43 / $446.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $67.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $758.58 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $93.33 / $151.36