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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
$1,230.27 / $4,897.79 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $954.99 / $1,412.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $18,197.01 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $1,202.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $794.33 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $5,623.41 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,548.82