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Pennsylvania rates for HCPCS 65850

Trabeculotomy ab externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$906.73 / $4,304.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,533.43 / $10,533.43 / $10,533.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$810.42 / $810.42 / $960.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,824.00 / $5,678.00