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South Carolina rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $10,471.29 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,096.48 / $1,659.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,623.41 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $977.24 / $1,905.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $1,621.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $11,220.18 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,380.38