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Missouri rates for HCPCS 65855

Trabeculoplasty by laser surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.68 / $2,984.00 / $7,365.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$788.58 / $788.58 / $788.58
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$158.12 / $189.51 / $220.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.30 / $267.50 / $420.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$343.26 / $632.04 / $1,639.19
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$138.06 / $189.51 / $282.18
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$27.61 / $37.04 / $47.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $184.87 / $289.95
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$275.63 / $275.63 / $288.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.82 / $338.36 / $503.91
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$326.73 / $507.55 / $755.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.65 / $144.65 / $386.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.20 / $339.25 / $596.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $478.86 / $1,836.00
Medica
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$645.34 / $645.34 / $645.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.68 / $356.80 / $4,509.17
Medica
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$405.49 / $608.24 / $902.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$899.00 / $1,632.00 / $2,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.21 / $318.76 / $498.83