go back

Washington, DC rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $5,128.61 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $954.99 / $2,238.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $2,884.03 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $16,218.10 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $2,398.83