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Pennsylvania rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $1,659.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $891.25 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,584.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,288.25
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $1,318.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,570.88 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $2,398.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,584.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $831.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $912.01 / $1,584.89