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Alaska rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,478.75 / $9,774.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,649.08 / $4,760.95 / $4,760.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.60 / $942.60 / $2,831.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.17 / $1,290.69 / $6,808.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.53 / $2,523.03 / $5,972.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,115.00 / $3,526.20 / $4,758.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.69 / $1,290.69 / $6,808.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.60 / $4,085.40 / $5,618.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.96 / $2,265.28 / $6,859.63