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Maryland rates for HCPCS 66150

Fstlj Sclera Glaucoma Trephin W/Iridectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.66 / $1,048.08 / $1,446.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.00 / $934.96 / $981.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $634.82 / $2,078.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.35 / $939.39 / $1,551.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.68 / $1,027.73 / $1,340.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.05 / $823.95 / $1,626.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.51 / $937.88 / $1,027.73