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New York rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.00 / $4,792.00 / $10,526.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.04 / $1,041.74 / $2,238.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,046.00 / $7,264.00 / $12,538.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.60 / $889.68 / $1,970.02
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.61 / $2,390.00 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.61 / $1,227.61 / $1,227.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.81 / $973.81 / $2,907.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.06 / $1,056.54 / $2,447.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $914.06 / $2,209.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.24 / $1,174.08 / $1,828.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.31 / $809.72 / $1,845.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $973.81 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.38 / $1,109.36 / $2,447.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $4,370.00 / $9,187.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.84 / $948.56 / $1,942.18
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.52 / $1,189.52 / $2,315.80
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.31 / $1,189.52 / $2,295.73