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Minnesota rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,762.47 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,235.94 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,511.89 / $4,073.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,090.30 / $6,165.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $6,760.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,248.07 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $3,090.30