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Pennsylvania rates for HCPCS 67515

Injection of medication or other substance into Tenon's capsule

Facilitymedian $2,570 · 10th–90th $562$8,3180%5%10th90th$2,570Professionalmedian $74 · 10th–90th $45$1820%20%10th90th$74$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $173.78
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$109.65 / $218.78 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,570.40 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $52.48 / $173.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$75.86 / $77.62 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $77.62 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $87.10
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $120.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $1,995.26
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $2,570.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $79.43
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$93.33 / $93.33 / $147.91
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,905.46 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $67.61 / $117.49
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $66.07 / $229.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $63.10 / $81.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $758.58 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $69.18 / $120.23