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Indiana rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.96 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.96 / $868.26 / $1,034.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $8,512.00 / $16,307.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.30 / $675.67 / $932.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.98 / $1,058.93 / $1,601.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.98 / $988.73 / $1,423.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $798.00 / $2,806.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.22 / $902.18 / $1,531.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.11 / $943.77 / $1,701.91