go back

Oklahoma rates for HCPCS 66155

Fstlj Sclera Glaucoma Thermocaut Irridec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $4,192.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.97 / $937.97 / $992.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.66 / $2,184.66 / $2,184.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.07 / $1,046.74 / $1,245.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $1,807.00 / $6,698.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.02 / $876.72 / $1,860.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.10 / $850.27 / $1,118.78