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Maryland rates for HCPCS 66170

Fstlj Sclera Glaucoma Trabeculect Ab Externo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,291.24 / $3,321.51 / $5,810.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $634.82 / $1,205.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.43 / $1,280.44 / $1,670.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00