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Idaho rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,801.89 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,548.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,479.11 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,120.11 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $3,162.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,445.44 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $1,698.24