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Oklahoma rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.36 / $938.36 / $993.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.66 / $2,184.66 / $2,184.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.89 / $1,047.74 / $1,250.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $1,807.00 / $6,698.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.59 / $880.56 / $1,861.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.14 / $868.87 / $1,119.68