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Missouri rates for HCPCS 66150

Fstlj Sclera Glaucoma Trephin W/Iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.72 / $969.87 / $1,339.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.01 / $976.91 / $1,435.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $730.00 / $2,318.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.46 / $1,015.13 / $1,914.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.69 / $2,396.00 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.44 / $1,050.31 / $6,538.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.44 / $1,050.31 / $1,770.97