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Maine rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,047.13 / $1,995.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,230.27 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,479.11 / $1,862.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,122.02 / $1,659.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $1,659.59