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Maryland rates for HCPCS 67515

Injection Medication/Other Subst Tenon Capsule

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.85 / $69.76 / $204.35
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$225.04 / $225.04 / $225.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.74 / $64.81 / $131.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $23.12 / $335.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.74 / $76.27 / $122.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.37 / $59.77 / $82.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.00 / $89.00 / $89.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.85 / $72.61 / $120.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $51.97 / $59.77