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California rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,444.00 / $17,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.31 / $967.10 / $4,652.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $8,592.00 / $17,774.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.91 / $1,083.03 / $2,179.17
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,004.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.77 / $800.09 / $1,846.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.31 / $2,977.65 / $4,058.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.82 / $1,023.35 / $2,368.19
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.96 / $1,055.73 / $1,425.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.03 / $1,097.95 / $2,067.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,758.06 / $11,879.05 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,327.84 / $6,538.96 / $7,199.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.09 / $1,121.94 / $1,690.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.82 / $1,102.07 / $2,415.85
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,887.02 / $2,887.02 / $2,887.02
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.04 / $893.27 / $1,173.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.09 / $862.37 / $2,182.12