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New Jersey rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.89 / $6,625.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.30 / $867.91 / $1,402.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.07 / $1,056.54 / $2,545.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.76 / $1,031.24 / $2,425.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.34 / $8,963.46 / $11,120.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.78 / $917.57 / $1,320.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,885.00 / $7,250.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.99 / $852.68 / $1,702.83