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Ohio rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.09 / $5,201.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.82 / $868.26 / $2,788.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $4,142.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.14 / $801.35 / $1,510.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.39 / $1,275.48 / $2,631.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.91 / $1,000.38 / $1,560.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.18 / $1,938.72 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.57 / $1,076.67 / $1,728.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.72 / $1,938.72 / $2,161.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.37 / $1,076.67 / $1,606.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.37 / $621.35 / $1,071.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $4,072.00 / $6,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.78 / $916.43 / $1,866.35