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South Dakota rates for HCPCS 67515

Injection of medication or other substance into Tenon's capsule

Facilitymedian $65 · 10th–90th $49–$2,2910%10%10th90th$65Professionalmedian $83 · 10th–90th $49–$2340%5%10%10th90th$83$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$48.98 / $64.57 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $75.86 / $234.42
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $120.23 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $64.57 / $251.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $154.88 / $380.19
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $165.96 / $181.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $89.13 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $107.15 / $223.87
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $107.15 / $117.49