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Mississippi rates for HCPCS 67515

Injection Medication/Other Subst Tenon Capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.77 / $784.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.46 / $67.86 / $121.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.92 / $46.92 / $46.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $114.00 / $114.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.09 / $26.64 / $518.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.81 / $90.36 / $156.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $529.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.09 / $81.65 / $138.01