Injection behind the eyeball (Tenon's capsule)

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Injection Medication/Other Subst Tenon Capsule

Payers reporting CPT 67515

Payer pricing summary

Low

$55

Average

$786

Median

$443

High

$6.5k

Payer rate distribution

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#
1	Medicaid fee schedule · outpatient · +10 other terms	22	$58	$96	$140	146%	1–10	$1 – $776
2	UnitedHealthcare fee schedule · outpatient · +32 other terms	531	$308	$736	$1.4k	191%	—	$1 – $17.9k
3	Aetna fee schedule · outpatient · +30 other terms	468	$344	$1.2k	$2.1k	182%	—	$1 – $21.3k
4	Humana fee schedule · outpatient · +25 other terms	357	$299	$371	$826	223%	—	$1 – $12.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	351	$408	$791	$1.6k	202%	—	$0 – $15.6k
6	Cigna case rate · outpatient · +26 other terms	313	$3.0k	$4.6k	$6.1k	133%	—	$1 – $40.7k
7	Molina fee schedule · outpatient · +24 other terms	221	$216	$185	$396	214%	—	$1 – $5.8k
8	WellCare fee schedule · outpatient · +15 other terms	172	$302	$375	$535	143%	—	$20 – $4.3k
9	Oscar case rate · outpatient · +17 other terms	137	$2.6k	$2.7k	$707	26%	—	$467 – $7.5k
10	Anthem fee schedule · outpatient · +23 other terms	127	$291	$338	$645	191%	—	$23 – $6.3k
11	Kaiser fee schedule · outpatient · +18 other terms	99	$393	$568	$685	121%	—	$39 – $4.3k
12	Ambetter fee schedule · outpatient · +11 other terms	79	$551	$474	$363	77%	—	$23 – $2.3k
13	Aetna Better Health fee schedule · outpatient · +16 other terms	71	$24	$42	$51	122%	—	$21 – $280
14	Devoted fee schedule · outpatient · +9 other terms	67	$303	$286	$87	31%	—	$45 – $354
15	Optum fee schedule · outpatient · +20 other terms	63	$284	$298	$220	74%	—	$42 – $1.2k
16	Caresource fee schedule · outpatient · +12 other terms	53	$347	$495	$649	131%	—	$1 – $4.3k
17	Healthcare Highways case rate · outpatient · +1 other terms	42	$5.8k	$6.6k	$5.1k	78%	—	$2.1k – $14.6k
18	Superior Healthplan case rate · outpatient · +5 other terms	38	$948	$935	$68	7%	—	$449 – $948
19	Cigna Healthspring fee schedule · outpatient · +8 other terms	32	$42	$128	$132	103%	—	$20 – $314
20	Tricare other · outpatient · +15 other terms	31	$293	$733	$1.1k	156%	—	$108 – $3.6k
21	Clover fee schedule · outpatient · +8 other terms	30	$334	$888	$1.3k	151%	—	$286 – $4.4k
22	MultiPlan fee schedule · outpatient · +18 other terms	30	$467	$448	$83	19%	—	$27 – $522
23	Bcbs Tx fee schedule · outpatient · +2 other terms	29	$88	$81	$81	100%	—	$19 – $303
24	Medica case rate · outpatient · +14 other terms	28	$849	$1.0k	$673	66%	—	$283 – $2.9k
25	Medicare fee schedule · outpatient · +12 other terms	27	$45	$616	$1.2k	201%	—	$42 – $4.2k

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