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Iowa rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $2,041.74 / $2,570.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,096.48 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,951.21 / $10,232.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $6,606.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,606.93 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $2,454.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,778.28 / $1,949.84