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Alaska rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,000.00 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,348.96 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,047.13 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $4,786.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,548.13 / $4,786.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,096.48 / $6,760.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $831.76 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,290.87 / $6,918.31