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Louisiana rates for HCPCS 65855

Trabeculoplasty by laser surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.00 / $1,155.00 / $3,500.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$201.71 / $238.46 / $301.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.49 / $317.95 / $425.93
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$170.36 / $256.57 / $321.70
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$31.94 / $50.10 / $63.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.65 / $367.65 / $367.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.32 / $999.77 / $1,471.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.68 / $296.50 / $507.73
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.04 / $476.04 / $476.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $451.00 / $451.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.85 / $273.39 / $404.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.00 / $1,049.00 / $2,271.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.82 / $290.11 / $561.71