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Maryland rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.04 / $1,047.28 / $1,117.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.00 / $934.22 / $980.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $634.82 / $2,078.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.07 / $939.05 / $1,550.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.00 / $1,026.95 / $1,339.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.07 / $802.71 / $1,420.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.96 / $937.16 / $1,026.95