go back

Missouri rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.46 / $969.12 / $1,338.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.43 / $976.12 / $1,429.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $730.00 / $2,318.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.23 / $1,010.51 / $1,908.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.40 / $2,396.00 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.82 / $1,049.46 / $6,536.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.82 / $1,049.46 / $1,603.13