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South Carolina 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
$64.57 / $4,897.79 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $72.44 / $128.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$70.79 / $70.79 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $707.95 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $61.66 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $81.28 / $141.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $70.79 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,230.27 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $69.18 / $120.23