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Pennsylvania rates for HCPCS 66500

Iridotomy by stab incision (separate procedure); except transfixion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,422.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $2,594.00 / $5,296.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.39 / $379.30 / $379.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $650.00 / $4,300.00