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Vermont rates for HCPCS 67515

Injection Medication/Other Subst Tenon Capsule

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.77 / $83.14 / $109.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.73 / $116.69 / $186.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.50 / $89.50 / $159.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $93.02 / $159.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $90.59 / $228.83