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Missouri 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
$54.90 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.59 / $69.76 / $142.63
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$236.70 / $236.70 / $236.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.37 / $75.37 / $75.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $81.03 / $130.97
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.86 / $121.54 / $196.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.78 / $25.78 / $386.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.33 / $85.00 / $197.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.49 / $110.43 / $961.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.79 / $95.55 / $425.33
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$61.08 / $61.08 / $61.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $815.00 / $1,351.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.79 / $84.44 / $140.52