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Indiana rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.31 / $2,318.00 / $14,063.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.31 / $867.91 / $1,103.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.00 / $8,512.00 / $16,307.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.00 / $847.50 / $1,141.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.36 / $1,058.09 / $1,600.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.36 / $987.95 / $1,422.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $798.00 / $2,806.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.36 / $901.64 / $1,525.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.52 / $939.77 / $1,582.27