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Minnesota 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
$49.79 / $55.02 / $2,168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.79 / $74.69 / $144.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$108.51 / $108.51 / $108.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.60 / $938.85 / $2,042.46
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$664.26 / $1,007.83 / $1,767.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $106.05 / $179.48
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$109.61 / $155.09 / $255.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.12 / $180.36 / $433.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.71 / $133.41 / $220.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.39 / $164.89 / $341.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $120.41 / $204.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.38 / $91.82 / $720.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.12 / $146.88 / $383.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.84 / $135.87 / $238.42