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Connecticut rates for HCPCS 66155

Fstlj Sclera Glaucoma Thermocaut Irridec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,669.95 / $6,343.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.74 / $1,402.24 / $2,295.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.64 / $1,591.76 / $1,888.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.06 / $1,146.81 / $2,657.15
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.51 / $1,031.24 / $1,206.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.98 / $1,060.09 / $2,704.80