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North Carolina rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.93 / $1,360.45 / $10,561.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.19 / $839.93 / $1,228.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.63 / $1,076.83 / $2,641.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.01 / $1,037.33 / $2,161.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.93 / $923.92 / $1,299.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.63 / $1,083.00 / $1,083.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,526.00 / $7,659.00 / $10,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.38 / $868.85 / $2,018.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,758.06 / $11,879.05 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,327.84 / $6,327.84 / $7,199.78