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Texas rates for HCPCS 67515

Injection Medication/Other Subst Tenon Capsule

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.09 / $2,071.00 / $6,762.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $64.59 / $101.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$108.51 / $108.51 / $225.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.78 / $47.78 / $71.67
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$71.67 / $71.67 / $71.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.33 / $55.94 / $220.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $54.36 / $78.70
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.09 / $329.35 / $420.86
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.40 / $67.47 / $86.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $16.57 / $50.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.67 / $28.67 / $29.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.73 / $76.97 / $152.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $319.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.56 / $417.53 / $425.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.93 / $65.31 / $138.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $63.92 / $78.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $55.11 / $65.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.93 / $65.70 / $139.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.24 / $81.62 / $152.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $950.00 / $2,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.52 / $83.04 / $122.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.97 / $47.78 / $66.69