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Maryland rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $1,348.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $630.96 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,621.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $891.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $1,698.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,230.27