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North Carolina rates for HCPCS 66991

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.62 / $6,577.80 / $10,370.70
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$130.94 / $130.94 / $202.96
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$491.03 / $491.03 / $761.09
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$98.21 / $98.21 / $152.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.66 / $654.70 / $1,149.95
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$95.21 / $98.21 / $140.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.25 / $1,092.25 / $1,092.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.96 / $915.90 / $2,106.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.89 / $889.04 / $2,055.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$635.82 / $850.55 / $898.48
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.48 / $898.48 / $898.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.50 / $818.11 / $1,065.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $11,617.00 / $17,964.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.08 / $819.69 / $1,678.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $21,325.00
Wellcare
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$314.68 / $353.55 / $4,042.62
Wellcare
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,101.39 / $1,237.43 / $14,149.17
Wellcare
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$236.01 / $265.16 / $3,031.96
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,949.35 / $5,600.48 / $5,600.48