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Maine rates for HCPCS 66150

Fstlj Sclera Glaucoma Trephin W/Iridectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.47 / $1,348.32 / $1,450.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.22 / $1,123.54 / $1,661.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.81 / $1,005.81 / $1,005.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.20 / $1,579.08 / $1,890.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.54 / $1,240.93 / $1,903.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.42 / $1,001.65 / $1,450.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.23 / $1,216.22 / $1,594.56