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Indiana 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
$1,019.51 / $7,954.00 / $14,527.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $6,653.00 / $11,752.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.68 / $1,322.25 / $2,000.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.00 / $798.00 / $1,627.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.00 / $5,995.00 / $10,413.00