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North Dakota 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
$1,097.47 / $1,097.47 / $8,500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.47 / $1,445.16 / $2,471.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,545.00 / $2,545.00 / $2,545.00