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Indiana 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
$44.29 / $113.83 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.29 / $53.00 / $104.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.55 / $69.44 / $93.54
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$83.32 / $104.16 / $140.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.64 / $57.09 / $92.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $55.82 / $83.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.81 / $78.14 / $422.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.58 / $69.55 / $110.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.00 / $2,174.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.58 / $82.70 / $136.01