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West Virginia rates for HCPCS 66150

Fistulization of sclera for glaucoma; trephination with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,513.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,071.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,096.48 / $4,466.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,380.38