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North Dakota rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.34 / $880.34 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.34 / $935.69 / $935.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,672.75 / $1,832.55 / $2,165.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.26 / $1,626.69 / $2,721.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.34 / $1,051.26 / $2,471.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.52 / $1,580.47 / $2,300.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.52 / $1,404.86 / $2,075.01