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Arizona rates for HCPCS 66150

Fstlj Sclera Glaucoma Trephin W/Iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.36 / $1,034.33 / $4,652.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.17 / $791.85 / $851.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $775.00 / $858.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.46 / $888.00 / $1,884.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.07 / $1,844.98 / $5,107.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.22 / $850.95 / $6,538.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.12 / $842.74 / $1,642.59