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Arizona rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,677.35 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,511.89 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,659.59 / $5,128.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $6,606.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,467.37 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $812.83 / $1,380.38