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Tennessee rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.84 / $1,097.25 / $1,314.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.00 / $3,950.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.83 / $1,056.83 / $2,374.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.65 / $994.07 / $1,722.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,754.39 / $11,879.05 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,322.88 / $6,536.32 / $7,194.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.77 / $919.05 / $1,661.76