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Maine rates for HCPCS 67515

Injection of medication or other substance into Tenon's capsule

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $83.14 / $142.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.35 / $60.01 / $79.03
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.53 / $90.02 / $118.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.72 / $89.31 / $112.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $66.30 / $101.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.48 / $82.67 / $98.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $111.20 / $149.09