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Arizona rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.71 / $1,037.13 / $4,649.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.45 / $3,228.01 / $5,113.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.66 / $791.24 / $850.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $775.00 / $858.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.06 / $887.31 / $1,883.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,843.58 / $5,107.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.57 / $850.27 / $6,536.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.54 / $839.11 / $1,684.05