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Idaho rates for HCPCS 66170

Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.28 / $1,796.02 / $2,478.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,116.89 / $5,756.01 / $7,201.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $5,550.00 / $12,233.00