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Georgia rates for HCPCS 65855

Trabeculoplasty By Laser Surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.45 / $2,950.00 / $6,915.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,250.31 / $1,250.31 / $1,250.31
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$173.03 / $296.70 / $440.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.83 / $289.20 / $584.07
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$635.69 / $741.12 / $805.89
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$153.53 / $214.88 / $470.88
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$30.64 / $39.42 / $86.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.80 / $322.94 / $437.64
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$234.44 / $322.32 / $656.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.59 / $2,485.30 / $4,184.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.14 / $308.98 / $535.37
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$300.20 / $463.48 / $803.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.66 / $271.30 / $746.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.82 / $305.82 / $305.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.06 / $165.07 / $411.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.44 / $390.32 / $629.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.31 / $330.01 / $1,598.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$243.90 / $243.90 / $290.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$17.42 / $17.42 / $20.78
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.00 / $660.00 / $660.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.85 / $329.88 / $461.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.00 / $2,300.00 / $4,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.61 / $366.70 / $584.23