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Kentucky rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.00 / $890.97 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.19 / $890.97 / $1,095.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $3,889.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.05 / $749.60 / $1,147.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$780.21 / $1,093.36 / $1,249.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.41 / $1,093.36 / $1,561.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.82 / $974.18 / $2,280.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.57 / $980.01 / $1,756.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $498.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.96 / $912.83 / $1,405.68