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Minnesota rates for HCPCS 65855

Trabeculoplasty By Laser Surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.33 / $262.83 / $2,525.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$163.00 / $197.12 / $197.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.33 / $277.54 / $512.52
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$416.31 / $635.69 / $836.10
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$163.00 / $198.78 / $819.31
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$32.60 / $39.42 / $79.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.43 / $1,629.21 / $3,529.62
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,325.40 / $2,010.93 / $3,525.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.95 / $495.40 / $837.14
BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$495.27 / $716.45 / $1,175.54
BCBS
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$276.50 / $392.94 / $630.59
BCBS
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$67.59 / $97.48 / $159.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.48 / $864.77 / $2,080.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.19 / $614.54 / $1,037.33
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.72 / $790.61 / $1,638.05
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.16 / $561.73 / $975.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.04 / $440.17 / $1,826.99
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,757.05 / $3,757.05 / $3,819.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.32 / $479.31 / $2,048.79
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$526.92 / $690.53 / $3,056.40
Medica
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$298.64 / $298.64 / $298.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,755.00 / $2,872.00 / $4,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.80 / $432.33 / $973.76