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Tennessee rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,570.40 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,168.69 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,698.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $7,244.36 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,659.59