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West Virginia rates for HCPCS 66155

Fistulization of sclera for glaucoma; thermocauterization with iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.71 / $864.71 / $2,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.39 / $864.71 / $1,525.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.47 / $971.94 / $1,058.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.73 / $890.95 / $1,052.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$973.81 / $973.81 / $973.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.81 / $1,019.72 / $4,280.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.46 / $832.44 / $1,243.30